Healthcare Provider Details

I. General information

NPI: 1144125394
Provider Name (Legal Business Name): JESSICA WOLFORD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JESSICA WOLFORD BARNES

II. Dates (important events)

Enumeration Date: 10/08/2026
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14241 E 4TH AVE STE 300
AURORA CO
80011-8712
US

IV. Provider business mailing address

4931 S SALIDA CT
AURORA CO
80015-2034
US

V. Phone/Fax

Practice location:
  • Phone: 833-369-1144
  • Fax: 682-207-1826
Mailing address:
  • Phone: 240-750-4011
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: