Individual
MRS. JENNIFER DIANE NOVOTNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC, FNP-C, APRN
Contact information
Practice address
3333 S BANNOCK ST STE 400, ENGLEWOOD, CO 80110-2436
(303) 883-1417
(303) 500-6966
Mailing address
3333 S BANNOCK ST STE 400, ENGLEWOOD, CO 80110-2436
(303) 883-1417
(303) 500-6966
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN.0993283-NP
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1477182665
—
CO
Enumeration date
08/14/2017
Last updated
04/08/2020
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