Healthcare Provider Details

I. General information

NPI: 1487521761
Provider Name (Legal Business Name): JENNIFER ANN BARRETT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: JENNIFER SHELDON

II. Dates (important events)

Enumeration Date: 10/21/2025
Last Update Date: 10/21/2025
Certification Date: 10/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13395 VOYAGER PKWY STE 130
COLORADO SPRINGS CO
80921-7677
US

IV. Provider business mailing address

13395 VOYAGER PKWY STE. 130 #856
COLORADO SPRINGS CO
80921-7677
US

V. Phone/Fax

Practice location:
  • Phone: 719-684-5616
  • Fax:
Mailing address:
  • Phone: 719-684-5616
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364S00000X
TaxonomyClinical Nurse Specialist
License Number0005833
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: