Individual
JESSICA ANN PETTIGREW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN/CNM
Contact information
Practice address
12605 E 16TH AVE, AURORA, CO 80045-2545
(720) 848-0000
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
(303) 493-7000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RE1487
GU
367A00000X
Advanced Practice Midwife
Primary
APN.0991020-CNM
CO
367A00000X
Advanced Practice Midwife
NP-0104/NURSEMIDWIFE
GU
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05621356
—
CO
Enumeration date
09/23/2009
Last updated
10/06/2023
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