Individual
KELSEY JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1625 MEDICAL CENTER PT STE 215, COLORADO SPRINGS, CO 80907-5798
(719) 452-8509
Mailing address
7376 WEATHERWOOD DR, COLORADO SPRINGS, CO 80927-4168
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN.0997539-NP
CO
Other
Enumeration date
06/15/2022
Last updated
06/15/2022
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