Healthcare Provider Details

I. General information

NPI: 1316471618
Provider Name (Legal Business Name): JAIME DEPUE NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/13/2017
Last Update Date: 10/15/2025
Certification Date: 10/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

999 17TH ST STE 500
DENVER CO
80202-2728
US

IV. Provider business mailing address

5920 MCINTYRE ST
GOLDEN CO
80403-7445
US

V. Phone/Fax

Practice location:
  • Phone: 720-434-4876
  • Fax:
Mailing address:
  • Phone: 720-434-4876
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number13503
License Number StateMN
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number17549-33
License Number StateWI
# 3
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPN.0993638-NP
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: