Brogdon, Jill Marie

Brogdon, Jill Marie is an individual health care provider with primary practice located at 12650 W 64Th Ave Unit 501, Arvada CO 80004-3893. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Brogdon, Jill Marie can be contacted via phone (303) 431-4127.

Contact Information

Primary practice address
12650 W 64Th Ave Unit 501 Arvada CO 80004-3893
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 0162674 Colorado
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 0991927 Colorado

Profile Details

NPI number 1861867632
LBN Legal business name Brogdon, Jill Marie
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 4th, 2015
Last updated Jan 29th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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