Healthcare Provider Details

I. General information

NPI: 1255991659
Provider Name (Legal Business Name): JENNIFER HUMMER FISHER DNP, WHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/18/2019
Last Update Date: 06/18/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

DAWN CLINIC 1445 DAYTON ST
AURORA CO
80010
US

IV. Provider business mailing address

3956 ZUNI ST
DENVER CO
80211-2145
US

V. Phone/Fax

Practice location:
  • Phone: 303-800-9677
  • Fax:
Mailing address:
  • Phone: 303-947-3504
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberAPN.0990003
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code163WW0101X
TaxonomyAmbulatory Women's Health Care Registered Nurse
License NumberRN.0122254
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: