Individual
MS. LAUREN JASILLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2760 29TH ST STE 2B, BOULDER, CO 80301-1221
(303) 444-6400
Mailing address
2760 29TH ST STE 2B, BOULDER, CO 80301-1221
(303) 444-6400
(303) 444-6465
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
APN.0996061-NP
CO
363LF0000X
Family Nurse Practitioner
APN.0996061-NP
CO
Other
Enumeration date
11/23/2020
Last updated
03/06/2025
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