Scanlon, Jennifer L

Scanlon, Jennifer L is an individual health care provider with primary practice located at 3200 Vance St , Wheat Ridge CO 80033-6248. 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. Scanlon, Jennifer L can be contacted via phone (510) 506-0820.

Contact Information

Primary practice address
3200 Vance St Wheat Ridge CO 80033-6248
Phone: (510) 506-0820
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 92852 Colorado

Profile Details

NPI number 1558446203
LBN Legal business name Scanlon, Jennifer L
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2006
Last updated Mar 29th, 2021 - about 3 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 1558446203 NPPES
Colorado MEDICAID 86107534

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