Organization
ALL SEASONS PSYCHIATRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA REISS PMHNP, FNP (PROVIDER)
(303) 335-0707
Entity
Organization
Contact information
Practice address
710 10TH ST # 220, GOLDEN, CO 80401-5835
(303) 335-0707
Mailing address
1100 JOHNSON RD UNIT 18611, GOLDEN, CO 80402-7306
(303) 335-0707
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
16452313
—
CO
Enumeration date
02/08/2023
Last updated
02/23/2023
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