Individual
MRS. GWEN JESSICA JACKSON KELLOGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1818 N OGDEN ST STE 400, DENVER, CO 80218-1280
(303) 381-1991
Mailing address
1810 W 50TH AVE, DENVER, CO 80221-1573
(650) 678-5874
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN.0999918-NP
CO
Other
Enumeration date
07/03/2024
Last updated
07/03/2024
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