Individual
JENNIFER BOONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4851 INDEPENDENCE ST, WHEAT RIDGE, CO 80033-6715
(303) 425-0300
Mailing address
4851 INDEPENDENCE ST, WHEAT RIDGE, CO 80033-6715
(303) 425-0300
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1622948
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RN
—
CO
Enumeration date
07/18/2017
Last updated
07/18/2017
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