Individual
JENNIFER LEA MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
115 E RIVERWALK, UNIT 200, PUEBLO, CO 81003-3308
(719) 543-8346
(970) 667-0847
Mailing address
PO BOX 7702, LOVELAND, CO 80537-0702
(970) 663-2742
(970) 667-0847
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2015001624
CO
Other
Enumeration date
11/20/2015
Last updated
11/20/2015
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