Individual
JENNIFER TIERNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4743 ARAPAHOE AVE STE 202, BOULDER, CO 80303-1128
(303) 938-5700
(303) 998-0007
Mailing address
4743 ARAPAHOE AVE STE 202, BOULDER, CO 80303-1128
(303) 938-5700
(303) 998-0007
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APN.0992977-NP
CO
363LF0000X
Family Nurse Practitioner
Primary
APN.0992977-NP
CO
Other
Enumeration date
03/08/2017
Last updated
05/10/2022
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