Individual
JACK J. MAYEUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN, FNP
Contact information
Practice address
33 N UNCOMPAHGRE AVE, MONTROSE, CO 81401-3957
(970) 596-5596
(970) 585-7994
Mailing address
33 N UNCOMPAHGRE AVE, MONTROSE, CO 81401-3957
(970) 596-5596
(970) 585-7994
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
AP08146
LA
363LF0000X
Family Nurse Practitioner
Primary
APN.0997946-NP
CO
363LF0000X
Family Nurse Practitioner
C-APN.0003532-C-APN
CO
Other
Enumeration date
12/11/2014
Last updated
05/24/2023
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