Healthcare Provider Details

I. General information

NPI: 1932560844
Provider Name (Legal Business Name): JODY JAFFE CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JODY JAFFE-LIPSITZ

II. Dates (important events)

Enumeration Date: 03/19/2016
Last Update Date: 03/19/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7735 WADSWORTH BLVD #D/24
ARVADA CO
80003-2143
US

IV. Provider business mailing address

7155 E 38TH AVE
DENVER CO
80207-1630
US

V. Phone/Fax

Practice location:
  • Phone: 303-467-3766
  • Fax: 303-425-6101
Mailing address:
  • Phone: 303-321-7625
  • Fax: 303-861-0268

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN.0069860
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberAPN.0000310-CNM
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: