Organization
THE COURAGE CLINIC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA STUENZI NP (PSYCHIATRIC NURSE PRACTITIONER)
(425) 280-6331
Entity
Organization
Contact information
Practice address
9878 W BELLEVIEW AVE STE 2242, DENVER, CO 80123-2101
(720) 335-5742
Mailing address
101 MIDWAY AVE, CLARKS SUMMIT, PA 18411-1942
(425) 280-6331
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000175638
—
CO
Enumeration date
11/15/2022
Last updated
12/19/2022
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