Healthcare Provider Details

I. General information

NPI: 1720901689
Provider Name (Legal Business Name): JESSIE HARRINGTON
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/30/2026
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6000 GREENWOOD PLAZA BLVD STE 105
GREENWOOD VILLAGE CO
80111-4818
US

IV. Provider business mailing address

6000 GREENWOOD PLAZA BLVD STE 105
GREENWOOD VILLAGE CO
80111-4818
US

V. Phone/Fax

Practice location:
  • Phone: 303-770-6933
  • Fax: 303-586-6075
Mailing address:
  • Phone: 303-770-6933
  • Fax: 303-586-6075

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: