Individual
JESSICA FYNBOH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, PMHNP-BC, APRN
Contact information
Practice address
10465 MELODY DR STE 226, NORTHGLENN, CO 80234
(720) 331-6899
(720) 306-5499
Mailing address
10465 MELODY DR STE 226, NORTHGLENN, CO 80234-4120
(720) 331-6899
(720) 306-5499
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APN.0992275-NP
CO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
RXN.0101875-NP
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1174909618
NPI
CO
05
—
1174909618
—
CO
Enumeration date
08/06/2015
Last updated
03/31/2019
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