Individual
MRS. JESSICA LYNN WEIDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
10400 E ALAMEDA AVE, DENVER, CO 80247-5104
(720) 383-3548
Mailing address
8688 E 54TH PL, DENVER, CO 80238-3858
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0198631
CO
Other
Enumeration date
11/30/2017
Last updated
11/30/2017
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