Longshore, Jennifer Diane

Longshore, Jennifer Diane is an individual health care provider with primary practice located at 6965 Tutt Blvd , Colorado Springs CO 80923-3596. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Longshore, Jennifer Diane can be contacted via phone (719) 266-5944.

Contact Information

Primary practice address
6965 Tutt Blvd Colorado Springs CO 80923-3596
Phone: (719) 266-5944
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 0995027 Colorado

Profile Details

NPI number 1083222897
LBN Legal business name Longshore, Jennifer Diane
Credentials PNP- PC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2020
Last updated Dec 30th, 2020 - about 6 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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