Individual
JESSICA MAE LIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN, AGNP-BC
Contact information
Practice address
12230 LIONESS WAY, PARKER, CO 80134-5603
(720) 644-9355
Mailing address
12230 LIONESS WAY, PARKER, CO 80134-5603
(720) 644-9355
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
APN.0995140-NP
CO
363LP2300X
Primary Care Nurse Practitioner
Primary
APN.0995140-NP
CO
Other
Enumeration date
03/11/2020
Last updated
08/24/2021
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