Individual
MRS. JENNIFER REBECCA SOUSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP-C
Contact information
Practice address
7780 S BROADWAY STE 350, LITTLETON, CO 80122-2641
(720) 638-7500
(720) 583-6770
Mailing address
7780 S BROADWAY STE 350, LITTLETON, CO 80122-2641
(720) 638-7500
(720) 583-6770
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
APN.0998142-NP
CO
363L00000X
Nurse Practitioner
Primary
APN.0998142-NP
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000211755
—
CO
Enumeration date
10/24/2022
Last updated
03/01/2023
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