Jefferson, Phyllis Eileen

Jefferson, Phyllis Eileen is an individual health care provider with primary practice located at 5730 Ward Rd Suite 102, Arvada CO 80002-1300. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Jefferson, Phyllis Eileen can be contacted via phone (303) 422-6331.

Contact Information

Primary practice address
5730 Ward Rd Suite 102 Arvada CO 80002-1300
Fax: (303) 422-6379
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 44567 Colorado

Profile Details

NPI number 1689715823
LBN Legal business name Jefferson, Phyllis Eileen
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2007
Last updated Mar 7th, 2023 - about last year

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 1689715823 NPPES
Colorado Other 44567 LICENSE #

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