Organization
PIKES PEAK VISITING PROVIDERS LLC
Active
Organization
PIKES PEAK VISITING PROVIDERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOCELYN REEVES NP-C (PROVIDER)
(719) 459-0981
Entity
Organization
Contact information
Practice address
818 E CARAMILLO ST, COLORADO SPRINGS, CO 80907-7704
(719) 244-8658
Mailing address
818 E CARAMILLO ST, COLORADO SPRINGS, CO 80907-7704
(719) 459-0981
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
363LG0600X
Gerontology Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0995294
STATE APN LICENSE
CO
Enumeration date
07/20/2020
Last updated
07/24/2022
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