Individual
JEANINE CATHERINE HJELT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6767 29TH ST FL 2, GREELEY, CO 80634-5474
(970) 224-9102
(970) 224-9112
Mailing address
6767 29TH ST FL 2, GREELEY, CO 80634-5474
(970) 224-9102
(970) 224-9112
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
4342
AZ
363AM0700X
Medical Physician Assistant
Primary
PA.0005289
CO
363AM0700X
Medical Physician Assistant
PA889
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000158652
—
CO
Enumeration date
04/14/2009
Last updated
01/06/2021
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