Individual
TRACY JESSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
12999 W. DEER CREEK CANYON RD, LITTLETON, CO 80127
(303) 932-5155
(303) 932-5115
Mailing address
11457 W WOLF TOOTH PASS, LITTLETON, CO 80127-4026
(217) 652-0178
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP0990073
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00129793
RAILROAD MEDICARE
IL
Enumeration date
06/12/2006
Last updated
03/09/2015
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