Individual
JACQUELYN S. HOMRA MCDOWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1400 JACKSON ST, DENVER, CO 80206-2761
(303) 388-4461
(303) 270-2206
Mailing address
1400 JACKSON ST, DENVER, CO 80206-2761
(303) 388-4461
(303) 398-1211
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.0199215
CO
363LF0000X
Family Nurse Practitioner
Primary
APN.0992600-NP
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1437691896
—
CO
Enumeration date
11/15/2016
Last updated
11/11/2020
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