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Individual

MR. JACOB SPENCER GAJEWSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PMHNP- BC

Contact information

Practice address
4350 WADSWORTH BLVD STE 250, WHEAT RIDGE, CO 80033-4653
(970) 310-3406
Mailing address
4350 WADSWORTH BLVD STE 250, WHEAT RIDGE, CO 80033-4653
(970) 310-3406

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.1670708
CO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APN.1000634-NP
CO

Other

Enumeration date
03/07/2025
Last updated
03/06/2026
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