Individual
JACQUELYN L ELESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNAP, CRNA
Contact information
Practice address
400 W 16TH ST, PUEBLO, CO 81003-2745
(719) 584-4000
Mailing address
7154 EATON CT, ARVADA, CO 80003-3815
(734) 765-4700
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
139103
CO
Other
Enumeration date
10/03/2022
Last updated
10/03/2022
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