Healthcare Provider Details

I. General information

NPI: 1891589446
Provider Name (Legal Business Name): JESSICA MARIE MILBORROW DNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JESSICA MARIE BUTNARIU DNP

II. Dates (important events)

Enumeration Date: 04/08/2025
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12605 E 16TH AVE
AURORA CO
80045-2520
US

IV. Provider business mailing address

415 WESLEY AVE APT 26
OAK PARK IL
60302-3959
US

V. Phone/Fax

Practice location:
  • Phone: 773-230-5706
  • Fax:
Mailing address:
  • Phone: 773-230-5706
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPN.1002113-NP
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number209.032042
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: