Healthcare Provider Details

I. General information

NPI: 1982473583
Provider Name (Legal Business Name): JESSIE KUHN PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/22/2023
Last Update Date: 05/07/2025
Certification Date: 05/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2130 S ACADEMY BLVD STE 102
COLORADO SPRINGS CO
80916-2472
US

IV. Provider business mailing address

2130 S ACADEMY BLVD STE 102
COLORADO SPRINGS CO
80916-2472
US

V. Phone/Fax

Practice location:
  • Phone: 719-755-8420
  • Fax: 800-713-0245
Mailing address:
  • Phone: 719-755-8420
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPN.0999500-NP
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: