Individual
JAMIE FENTON
Active
Individual
JAMIE FENTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0190319
CO
363LA2200X
Adult Health Nurse Practitioner
Primary
0024186721
VA
363LA2200X
Adult Health Nurse Practitioner
0990971
CO
Other
Enumeration date
02/10/2014
Last updated
03/17/2024
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