Individual
STEPHANIE LEANN CHRISLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
1760 E KEN PRATT BLVD STE 205, LONGMONT, CO 80504-5311
(720) 718-3900
(720) 718-0999
Mailing address
1760 E KEN PRATT BLVD STE 205, LONGMONT, CO 80504-5311
(720) 718-3900
(720) 718-0999
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APN.1001016-NP
CO
363LA2200X
Adult Health Nurse Practitioner
Primary
APN.1001016-NP
CO
Other
Enumeration date
08/11/2025
Last updated
04/16/2026
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