Individual
JENNIFER ANN OUTCALT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
1375 E 20TH AVE, DENVER, CO 80205
(303) 338-4545
Mailing address
1375 E 20TH AVENUE, DENVER, CO 80205
(303) 338-4545
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
0196284
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
163W00000X
KAISER
CO
Enumeration date
09/08/2017
Last updated
09/08/2017
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