Healthcare Provider Details

I. General information

NPI: 1386563047
Provider Name (Legal Business Name): JAMI GUNN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/14/2026
Last Update Date: 07/14/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2839 BRUSH CREEK DR
FORT COLLINS CO
80528-3083
US

IV. Provider business mailing address

2839 BRUSH CREEK DR
FORT COLLINS CO
80528-3083
US

V. Phone/Fax

Practice location:
  • Phone: 910-612-5986
  • Fax:
Mailing address:
  • Phone: 910-612-5986
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License Number1683763
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: