Individual
MS. JESSICA LAUREN-ELIZABETH OLDHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC, RXN
Contact information
Practice address
2950 TENNYSON ST, DENVER, CO 80212-3029
(303) 433-2541
Mailing address
2950 TENNYSON ST, DENVER, CO 80212-3029
(303) 433-2541
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
193498
CO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RXN.0101090-NP
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4607310
—
CO
Enumeration date
07/14/2010
Last updated
06/15/2016
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