Individual
JENNIFER ELLEN POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4863 N NEVADA AVE, COLORADO SPRINGS, CO 80918-3951
(719) 255-8001
Mailing address
4863 N NEVADA AVE, COLORADO SPRINGS, CO 80918-3951
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
RN.1629671
CO
363LF0000X
Family Nurse Practitioner
Primary
APN.1000160-NP
CO
Other
Enumeration date
07/09/2024
Last updated
09/26/2024
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