Individual
MRS. JAMIE K. PHELAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.,M.S.N., N.N.P
Contact information
Practice address
SKY RIDGE MEDICAL CENTER, 10101 RIDGEGATE PARKWAY, LONE TREE, CO 80124
(720) 225-2200
(720) 225-2269
Mailing address
5445 DTC PKWY STE 700, GREENWOOD VILLAGE, CO 80111-3052
(303) 839-7440
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
71062
CO
363LN0000X
Neonatal Nurse Practitioner
5375036111
KS
363LN0000X
Neonatal Nurse Practitioner
Primary
RN0071062
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1679710321
—
CO
Enumeration date
01/17/2009
Last updated
02/17/2021
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