Individual
JACOB BRISTOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
4155 E JEWELL AVE STE 500, DENVER, CO 80222-4509
(720) 310-2773
(833) 916-0976
Mailing address
4155 E JEWELL AVE STE 500, DENVER, CO 80222-4509
(720) 310-2773
(833) 916-0976
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APN.0999823-NP
CO
Other
Enumeration date
03/16/2023
Last updated
06/10/2024
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