Individual
JEREMY JONATHON COUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
110 E ROUTT AVE, PUEBLO, CO 81004-2117
(719) 584-8711
Mailing address
110 E ROUTT AVE, PUEBLO, CO 81004-2117
(719) 584-8711
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN.1619017
CO
Other
Enumeration date
09/12/2024
Last updated
07/08/2025
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