Individual
JESSICA BLU ERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
715 S 9TH ST, CANON CITY, CO 81212-4911
(719) 269-8820
Mailing address
10744 ECHO CANYON DR, COLORADO SPRINGS, CO 80908-7413
(615) 959-1694
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
C-APN.0001880-C-NP
CO
Other
Enumeration date
03/03/2020
Last updated
03/03/2020
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