Individual
JENNIFER L. VANWINKLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1538 W CAMINO DE LOS RANCHOS, PUEBLO WEST, CO 81007-2040
(719) 359-6257
Mailing address
2 SOUTH CASCADE AVENUE, SUITE 140, COLORADO SPRINGS, CO 80903-1604
(719) 538-2900
(719) 538-2961
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
990344
CO
363LF0000X
Family Nurse Practitioner
Primary
990344
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
259444ZL1P
MEDICARE ID
CO
05
—
76720063
—
CO
Enumeration date
03/08/2012
Last updated
06/13/2023
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