Healthcare Provider Details

I. General information

NPI: 1083443121
Provider Name (Legal Business Name): JESSICA SANTORA FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/29/2024
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9660 RALSTON RD
ARVADA CO
80004-4972
US

IV. Provider business mailing address

9660 RALSTON RD
ARVADA CO
80004-4972
US

V. Phone/Fax

Practice location:
  • Phone: 303-292-9992
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPN.0999758-NP
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: