Healthcare Provider Details

I. General information

NPI: 1598013260
Provider Name (Legal Business Name): LILY JO-CHIEH JUAN FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/28/2012
Last Update Date: 08/15/2026
Certification Date: 08/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1634 N DOWNING ST
DENVER CO
80218-1529
US

IV. Provider business mailing address

1634 N DOWNING ST
DENVER CO
80218-1529
US

V. Phone/Fax

Practice location:
  • Phone: 303-991-7700
  • Fax: 303-991-7701
Mailing address:
  • Phone: 303-991-7700
  • Fax: 303-991-7701

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License NumberAPN.0990823-NP
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN.1622733
License Number StateCO
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number734510
License Number StateTX
# 4
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberRXN.0100802-NP
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: