Individual
MS. JILL MARIE BROGDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
12650 W 64TH AVE, UNIT 501, ARVADA, CO 80004-3893
(303) 431-4127
Mailing address
12650 W 64TH AVE, STE. E-501, ARVADA, CO 80004-3893
(303) 431-4127
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0162674
CO
363LF0000X
Family Nurse Practitioner
Primary
0991927
CO
Other
Enumeration date
12/04/2015
Last updated
01/29/2019
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