Individual
MS. JODEAN MARIE PERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN, PHN 2
Contact information
Practice address
301 S UNION BLVD, COLORADO SPRINGS, CO 80910-3123
(719) 578-3236
Mailing address
6375 LEMONWOOD DR, COLORADO SPRINGS, CO 80918-3236
(719) 533-1365
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
63451
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07634512
—
CO
Enumeration date
03/21/2007
Last updated
07/08/2007
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