Individual
JASON VALLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
4130 N FREEWAY RD, PUEBLO, CO 81008-2064
(719) 471-2273
(719) 325-8971
Mailing address
5799 STETSON HILLS BLVD STE 100, COLORADO SPRINGS, CO 80917-4223
(719) 471-2273
(719) 325-8971
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0994825
CO
Other
Enumeration date
07/27/2019
Last updated
07/27/2019
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