Healthcare Provider Details

I. General information

NPI: 1144024225
Provider Name (Legal Business Name): JENNIFER LEE DOAN APN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: JENNIFER LEE DOAN JENNI DOAN, APN

II. Dates (important events)

Enumeration Date: 04/01/2025
Last Update Date: 03/03/2026
Certification Date: 03/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

925 N LINCOLN ST APT 15A
DENVER CO
80203-2768
US

IV. Provider business mailing address

687 ARCHES CT
BERTHOUD CO
80513-2684
US

V. Phone/Fax

Practice location:
  • Phone: 720-442-3861
  • Fax: 720-815-0378
Mailing address:
  • Phone: 720-442-3861
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License NumberRN.0179050
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License NumberAPN.1000678-NP
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: