Provider Demographics
NPI:1356910640
Name:JONES, COURTNEY DANIELLE (APRN)
Entity type:Individual
Prefix:MRS
First Name:COURTNEY
Middle Name:DANIELLE
Last Name:JONES
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:215 WESTSIDE DR STE 200
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:TX
Mailing Address - Zip Code:76234-3869
Mailing Address - Country:US
Mailing Address - Phone:940-273-5700
Mailing Address - Fax:940-273-5699
Practice Address - Street 1:215 WESTSIDE DR STE 200
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:TX
Practice Address - Zip Code:76234-3869
Practice Address - Country:US
Practice Address - Phone:940-732-5700
Practice Address - Fax:940-273-5699
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-21
Last Update Date:2024-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1045421363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily