Healthcare Provider Details

I. General information

NPI: 1326848755
Provider Name (Legal Business Name): BEACON WOUND CARE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/14/2025
Last Update Date: 07/28/2025
Certification Date: 07/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1555 XAVIER ST
DENVER CO
80204-2111
US

IV. Provider business mailing address

9980 SILVER MAPLE RD
HIGHLANDS RANCH CO
80129-5469
US

V. Phone/Fax

Practice location:
  • Phone: 303-981-1727
  • Fax: 720-378-4377
Mailing address:
  • Phone: 303-981-1727
  • Fax: 720-378-4377

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WW0000X
TaxonomyWound Care Registered Nurse
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER LEIGH GRAFF
Title or Position: OWNER
Credential:
Phone: 303-981-1727