Domenico-Brock, Jennifer Holly

Domenico-Brock, Jennifer Holly is an individual health care provider with primary practice located at 701 24Th St , Golden CO 80401-2379. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Domenico-Brock, Jennifer Holly can be contacted via phone (303) 360-6276.

Contact Information

Primary practice address
701 24Th St Golden CO 80401-2379
Phone: (303) 360-6276
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN.0112072 Colorado
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X AT.0000841 Colorado
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APN.0003864-NP Colorado

Profile Details

NPI number 1558582056
LBN Legal business name Domenico-Brock, Jennifer Holly
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2007
Last updated Sep 6th, 2019 - about 5 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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