Individual
MS. JACQUELINE E. BORTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1400 E BOULDER ST STE 600, COLORADO SPRINGS, CO 80909-5533
(719) 364-8346
(719) 364-8347
Mailing address
2695 ROCKY MOUNTAIN AVE STE 150, LOVELAND, CO 80538-9071
(970) 624-4123
(970) 624-2416
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
UP005248B
PA
363LF0000X
Family Nurse Practitioner
Primary
APN.0990986-NP
CO
363LF0000X
Family Nurse Practitioner
UP005248B
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07627262
—
CO
01
—
225103
JOHNS HOPKINS
PA
01
—
342796
HIGHMARK BLUE SHIELD
PA
01
—
686550
CAREFIRST MD BCBS
MD
Enumeration date
09/06/2005
Last updated
04/04/2022
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