Individual
JAYDE MICHELLE BOEHNKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1400 E BOULDER ST, COLORADO SPRINGS, CO 80909-5599
(719) 365-5000
Mailing address
PO BOX 17503, DENVER, CO 80217-0503
(877) 346-2211
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN.0999737-NP
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000235094
—
CO
Enumeration date
04/29/2024
Last updated
07/02/2025
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