Healthcare Provider Details

I. General information

NPI: 1346877875
Provider Name (Legal Business Name): JENNIFER BARRETT RN, BSN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/25/2020
Last Update Date: 03/25/2020
Certification Date: 03/25/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8111 E LOWRY BLVD
DENVER CO
80230-7255
US

IV. Provider business mailing address

6919 S ELK CT
AURORA CO
80016-4329
US

V. Phone/Fax

Practice location:
  • Phone: 720-848-9532
  • Fax:
Mailing address:
  • Phone: 651-315-6776
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License Number1619746
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code163WC0400X
TaxonomyCase Management Registered Nurse
License Number1619746
License Number StateCO
# 3
Primary TaxonomyN
Taxonomy Code163WE0003X
TaxonomyEmergency Registered Nurse
License Number1619746
License Number StateCO
# 4
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number1619746
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: