Healthcare Provider Details

I. General information

NPI: 1083870950
Provider Name (Legal Business Name): JODI YEMAN NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/31/2008
Last Update Date: 07/07/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7000 E BELLEVIEW AVE STE 301
GREENWOOD VILLAGE CO
80111-1628
US

IV. Provider business mailing address

7000 E BELLEVIEW AVE STE 301
GREENWOOD VILLAGE CO
80111-1628
US

V. Phone/Fax

Practice location:
  • Phone: 303-220-9200
  • Fax: 303-220-9208
Mailing address:
  • Phone: 303-220-9200
  • Fax: 303-220-9208

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number0992060-NP
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number177928
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: