Individual
JESSE MERRILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2525 S DOWNING ST, PORTER ADVENTIST HOSPIYAL, DENVER, CO 80210-5817
(303) 778-5641
Mailing address
30774 SHARON SLATER PASS, UNIT 1102, MILTON, DE 19968-3520
(302) 313-4861
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
127060
CO
Other
Enumeration date
04/15/2014
Last updated
12/04/2016
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