Healthcare Provider Details

I. General information

NPI: 1447896592
Provider Name (Legal Business Name): JESSICA LYNN FALLIS NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JESSICA LYNN SWENSON

II. Dates (important events)

Enumeration Date: 11/25/2019
Last Update Date: 04/14/2026
Certification Date: 04/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16951 E QUINCY AVE
AURORA CO
80015-1901
US

IV. Provider business mailing address

16951 E QUINCY AVE
AURORA CO
80015-1901
US

V. Phone/Fax

Practice location:
  • Phone: 303-752-5480
  • Fax: 303-752-5481
Mailing address:
  • Phone: 303-752-5480
  • Fax: 303-752-5481

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPN.0994751-NP
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: