Healthcare Provider Details

I. General information

NPI: 1689450538
Provider Name (Legal Business Name): JESSICA RENEE ADKINS CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JESSICA RENEE NELSON

II. Dates (important events)

Enumeration Date: 09/06/2023
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2352 MEADOWS BLVD STE 255
CASTLE ROCK CO
80109-8417
US

IV. Provider business mailing address

1805 SHEA CENTER DR STE 450
HIGHLANDS RANCH CO
80129-2255
US

V. Phone/Fax

Practice location:
  • Phone: 303-738-1100
  • Fax: 303-738-1310
Mailing address:
  • Phone: 303-357-2559
  • Fax: 303-738-1310

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN-104041
License Number StateHI
# 2
Primary TaxonomyN
Taxonomy Code176B00000X
TaxonomyMidwife
License NumberAPRN-3499
License Number StateHI
# 3
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberAPN.1001492-CNM
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: