Individual
JACOB CALLAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
4851 INDEPENDENCE ST, WHEAT RIDGE, CO 80033-6715
(303) 425-0300
Mailing address
4851 INDEPENDENCE ST, WHEAT RIDGE, CO 80033-6715
(303) 425-0300
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN.1681806
CO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APN.1001630-NP
CO
Other
Enumeration date
07/07/2023
Last updated
03/17/2026
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