Individual
MS. JENNIFER L SCANLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3200 VANCE ST, WHEAT RIDGE, CO 80033-6248
(510) 506-0820
Mailing address
3200 VANCE ST, WHEAT RIDGE, CO 80033-6248
(510) 506-0820
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
92852
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
86107534
—
CO
Enumeration date
10/25/2006
Last updated
03/29/2021
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