Healthcare Provider Details

I. General information

NPI: 1821298076
Provider Name (Legal Business Name): JOLENE M. HAMANN CNM, WHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/24/2007
Last Update Date: 03/21/2024
Certification Date: 03/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9475 BRIAR VILLAGE PT STE 100
COLORADO SPRINGS CO
80920-7902
US

IV. Provider business mailing address

5028 GALLOPING GOOSE WAY
COLORADO SPRINGS CO
80924-2915
US

V. Phone/Fax

Practice location:
  • Phone: 719-323-3865
  • Fax: 719-434-9777
Mailing address:
  • Phone: 719-323-3865
  • Fax: 719-434-9777

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPN.0991275-CNM
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number209007662
License Number StateIL
# 3
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number209007662
License Number StateIL
# 4
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberAPN.0991275-CNM
License Number StateCO
# 5
Primary TaxonomyN
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License NumberAPN.0991275-CNM
License Number StateCO
# 6
Primary TaxonomyN
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License Number209.007662
License Number StateIL
# 7
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberAPN.0991275-CNM
License Number StateCO
# 8
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN.1627896
License Number StateCO
# 9
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number041325744
License Number StateIL
# 10
Primary TaxonomyN
Taxonomy Code176B00000X
TaxonomyMidwife
License Number209007662
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: