MEDICARE: TESSA BRIGGS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WP0807X	Child & Adolescent Psychiatric/Mental Health Registered Nurse	1662808	CO

General Provider Information

NPI Number	:	1770305377
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TESSA BRIGGS

Provider Business Mailing Address
First Line	:	615 ROCK SLIDE LN APT 814
Second Line	:
City	:	GRAND JUNCTION
State	:	CO
Zip	:	81505-1693
Country	:	US
Telephone Number	:	801-472-1663
Fax Number	:

Provider Business Practice Location Address
First Line	:	615 ROCK SLIDE LN APT 814
Second Line	:
City	:	GRAND JUNCTION
State	:	CO
Zip	:	81505-1693
Country	:	US
Telephone Number	:	801-472-1663
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/26/2024
Last Update Date	:	10/26/2024

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Directions to “ TESSA BRIGGS ” Practice Location

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