Individual
AMY JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGACNP-BC, APN
Contact information
Practice address
2121 E HARMONY RD UNIT 100, FORT COLLINS, CO 80528-3401
(970) 221-1000
Mailing address
2121 E HARMONY RD UNIT 100, FORT COLLINS, CO 80528-3401
(970) 221-1000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
53523
WY
363L00000X
Nurse Practitioner
APN.0999288-NP
CO
363LA2100X
Acute Care Nurse Practitioner
APN.0999288-NP
CO
363LG0600X
Gerontology Nurse Practitioner
53523
WY
363LG0600X
Gerontology Nurse Practitioner
Primary
APN.0999288-NP
CO
Other
Enumeration date
11/22/2023
Last updated
11/14/2025
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