Organization
SANCTUARY PEDIATRICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA DONALDSON CPNP-PC (OWNER PROVIDER)
(206) 941-4058
Entity
Organization
Contact information
Practice address
11590 RIDGELINE DR STE 140, COLORADO SPRINGS, CO 80921-3969
(719) 726-0765
Mailing address
11590 RIDGELINE DR STE 140, COLORADO SPRINGS, CO 80921-3969
(719) 726-0765
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
363LP0200X
Pediatric Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/24/2024
Last updated
05/20/2026
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