Individual
JAKE SIMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
255 UNION BLVD, SUITE #120, LAKEWOOD, CO 80228-1810
(303) 936-7415
(303) 936-2177
Mailing address
3390 15TH ST, BOULDER, CO 80304-2210
(303) 786-7050
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
114902
CO
Other
Enumeration date
03/15/2007
Last updated
02/03/2009
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