Individual
MS. JENIFER LEITCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1925 MOUNTAIN VIEW AVE, LONGMONT, CO 80501-3128
(303) 776-1234
(720) 494-3107
Mailing address
1925 MOUNTAIN VIEW AVE, LONGMONT, CO 80501-3128
(303) 776-1234
(720) 494-3107
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.0080813
CO
363L00000X
Nurse Practitioner
APN.0005787-NP
CO
363LA2200X
Adult Health Nurse Practitioner
80813
CO
363LF0000X
Family Nurse Practitioner
Primary
APN.0005787-NP
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05105846
—
CO
Enumeration date
01/13/2009
Last updated
03/15/2016
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