Healthcare Provider Details

I. General information

NPI: 1538472832
Provider Name (Legal Business Name): JESSICA LYNN DREILING NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/15/2010
Last Update Date: 09/28/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7735 W LONG DR UNIT 11 SUITE 105
LITTLETON CO
80123-1262
US

IV. Provider business mailing address

7735 W LONG DR UNIT 11 SUITE 105
LITTLETON CO
80123-1262
US

V. Phone/Fax

Practice location:
  • Phone: 303-904-0331
  • Fax: 303-948-3153
Mailing address:
  • Phone: 303-904-0331
  • Fax: 303-948-3153

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SF0001X
TaxonomyFamily Health Clinical Nurse Specialist
License NumberRN-174570
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: