Individual
JESSICA RENEE BOGART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20789 E PRINCETON PL, AURORA, CO 80013-6057
(719) 680-2666
Mailing address
20789 E PRINCETON PL, AURORA, CO 80013-6057
(719) 680-2666
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
RN.1644219
CO
363L00000X
Nurse Practitioner
Primary
0999854
CO
Other
Enumeration date
04/12/2024
Last updated
06/26/2024
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