Individual
JESSE W DACUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
2767 JANITELL RD, COLORADO SPRINGS, CO 80906-4102
(719) 365-2888
(719) 365-1577
Mailing address
2695 ROCKY MOUNTAIN AVE STE 150, LOVELAND, CO 80538-9071
(970) 624-2417
(970) 490-4173
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APN.0996571-NP
CO
363L00000X
Nurse Practitioner
F05210641
CO
Other
Enumeration date
06/24/2021
Last updated
12/29/2023
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