Individual
DR. JESSICA ELIZABETH ELLERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
(303) 338-4545
Mailing address
777 BANNOCK ST, DENVER, CO 80204-4597
(303) 739-1211
(303) 602-4560
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
DR.0065559
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
029192
KAISER COMMERCIAL NUMBER
CO
05
—
9000191004
—
CO
Enumeration date
04/30/2009
Last updated
05/06/2025
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