MEDICARE: CAROLYN J JARNES RNFA/NP

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	163W00000X	Registered Nurse	82751	CO
2	363L00000X	Nurse Practitioner	APN.0994481-NP	CO

General Provider Information

NPI Number	:	1952344798
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAROLYN J JARNES RNFA/NP

Provider Business Mailing Address
First Line	:	319 N INSTITUTE ST
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80903-3117
Country	:	US
Telephone Number	:	719-398-1415
Fax Number	:

Provider Business Practice Location Address
First Line	:	4010 REGENCY DR
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80906-4382
Country	:	US
Telephone Number	:	719-398-1415
Fax Number	:

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

Provider Enumeration Date	:	06/13/2006
Last Update Date	:	07/17/2019

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