Healthcare Provider Details

I. General information

NPI: 1801546338
Provider Name (Legal Business Name): MEREDITH JAMESON FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/27/2022
Last Update Date: 06/21/2024
Certification Date: 04/07/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4141 E DICKENSON PL
DENVER CO
80222-6012
US

IV. Provider business mailing address

11 HOLLY OAK
LITTLETON CO
80127-4332
US

V. Phone/Fax

Practice location:
  • Phone: 303-504-6500
  • Fax:
Mailing address:
  • Phone: 720-560-9020
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPN.0997338-NP
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: