Individual
JENNIFER LINDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
722 S WAHSATCH AVE, COLORADO SPRINGS, CO 80903-4035
(719) 632-5700
Mailing address
3205 N ACADEMY BLVD, SUITE 130, COLORADO SPRINGS, CO 80917-5101
(719) 632-5700
(719) 344-7837
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0002755
CO
363AM0700X
Medical Physician Assistant
2755
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
274634YKRD
MEDICARE NUMBER
CO
05
—
93976569
—
CO
Enumeration date
04/06/2009
Last updated
04/04/2017
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