Healthcare Provider Details

I. General information

NPI: 1700718210
Provider Name (Legal Business Name): KIERSTEN JERDEN FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/30/2026
Last Update Date: 05/30/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2550 TENDERFOOT HILL ST
COLORADO SPRINGS CO
80906-3998
US

IV. Provider business mailing address

2550 TENDERFOOT HILL ST
COLORADO SPRINGS CO
80906-3998
US

V. Phone/Fax

Practice location:
  • Phone: 719-633-3400
  • Fax: 719-633-3800
Mailing address:
  • Phone: 719-633-3400
  • Fax: 719-633-3800

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QH0002X
TaxonomyHospice and Palliative Medicine (Family Medicine) Physician
License NumberAPN.1001865-NP
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: