Gerity, Jacklynn K

Gerity, Jacklynn K is an individual health care provider with primary practice located at 5257 S Wadsworth Blvd , Littleton CO 80123-2228. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Gerity, Jacklynn K can be contacted via phone (303) 338-4545.

Contact Information

Primary practice address
5257 S Wadsworth Blvd Littleton CO 80123-2228
Phone: (303) 338-4545
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 40 Colorado

Profile Details

NPI number 1972642379
LBN Legal business name Gerity, Jacklynn K
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 5th, 2007
Last updated Jun 1st, 2011 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1972642379 NPPES
Colorado MEDICAID 00430897
Colorado Other 001206

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