Individual
JILL W. VESSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4190 E WOODMEN RD STE 100, COLORADO SPRINGS, CO 80920-8075
(719) 632-4455
Mailing address
4190 E WOODMEN RD STE 100, COLORADO SPRINGS, CO 80920-8075
(719) 632-4455
Taxonomy
Speciality
Code
Description
License number
State
202D00000X
Integrative Medicine Physician
Primary
DR.0044692
CO
207P00000X
Emergency Medicine Physician
DR.0044692
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123528100
—
WY
01
—
314442
BCBS
WY
05
—
82373817
—
CO
01
—
P00411372
RR MEDICARE
WY
Enumeration date
07/10/2006
Last updated
10/28/2025
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