Healthcare Provider Details

I. General information

NPI: 1598316556
Provider Name (Legal Business Name): JENNIFER D ABBEY NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: JENNIFER D MCGLASSON

II. Dates (important events)

Enumeration Date: 09/21/2019
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1263 LAKE PLAZA DR STE 120
COLORADO SPRINGS CO
80906-3510
US

IV. Provider business mailing address

PO BOX 800022
KANSAS CITY MO
64180-0022
US

V. Phone/Fax

Practice location:
  • Phone: 719-776-3330
  • Fax: 719-776-3349
Mailing address:
  • Phone: 800-953-0104
  • Fax: 303-765-6670

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPN.0994970-NP
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPN.0994970-NP
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: