Individual
JENNIFER JEAN POULSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
8010 S COUNTY ROAD 5 UNIT 205, FORT COLLINS, CO 80528-9004
(888) 777-2718
Mailing address
2609 LAKE HOLLOW RD, BERTHOUD, CO 80513-8412
(303) 565-9088
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN.0998003-NP
CO
Other
Enumeration date
10/19/2022
Last updated
10/19/2022
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