Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 036134204 | IL |
N | 111NI0900X | Internist | 036134204 | IL |
Y | 207R00000X | Internist | DR.0067509 | CO |
Y | 111NI0900X | Internist | DR.0067509 | CO |
NPI | 1003063140 |
---|---|
Provider Name | Emily Martin Jones |
First Address | Aurora, CO 80042-0429 |
Second Address | Denver, CO 80230-7255 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/08/2008 |
Last Update Date | 24/01/2022 |