Healthcare Provider Details

I. General information

NPI: 1528206364
Provider Name (Legal Business Name): SHAUNA T. ACKER DNP, CNM, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SHAUNA T. JONES DNP, CNM

II. Dates (important events)

Enumeration Date: 02/02/2009
Last Update Date: 03/07/2023
Certification Date: 11/16/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7562 BIGTOOTH MAPLE DR
COLORADO SPRINGS CO
80925-9483
US

IV. Provider business mailing address

7562 BIGTOOTH MAPLE DR
COLORADO SPRINGS CO
80925-9483
US

V. Phone/Fax

Practice location:
  • Phone: 970-765-5075
  • Fax:
Mailing address:
  • Phone: 970-765-5075
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPN.0992843-NP
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number155634
License Number StateMO
# 3
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberAPN.0013001-CNM
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: