Individual
JENIELLE DAUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
4100 BRIARGATE PARKWAY, SUITE #300, COLORADO SPRINGS, CO 80920
(719) 632-7669
Mailing address
4100 BRIARGATE PARKWAY, SUITE #300, COLORADO SPRINGS, CO 80920
(719) 632-7669
Taxonomy
Speciality
Code
Description
License number
State
364SF0001X
Family Health Clinical Nurse Specialist
Primary
0992438
CO
Other
Enumeration date
08/29/2016
Last updated
08/29/2016
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