Healthcare Provider Details

I. General information

NPI: 1790576908
Provider Name (Legal Business Name): JORDAN ALANNA ZWART FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/15/2025
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4350 LIMELIGHT AVE UNIT 205
CASTLE ROCK CO
80109-8049
US

IV. Provider business mailing address

4350 LIMELIGHT AVE UNIT 205
CASTLE ROCK CO
80109-8049
US

V. Phone/Fax

Practice location:
  • Phone: 720-686-7546
  • Fax:
Mailing address:
  • Phone: 720-686-7546
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN.1673501
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPN.1002134-NP
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: