Individual
SHANNON JUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
805 E 144TH AVE STE 100, THORNTON, CO 80023-9210
(720) 772-8040
Mailing address
2121 E HARMONY RD UNIT 100, FORT COLLINS, CO 80528-3401
(970) 221-1000
(970) 297-6844
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
APN.0996286-NP
CO
Other
Enumeration date
08/27/2021
Last updated
09/13/2024
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