Healthcare Provider Details

I. General information

NPI: 1386560878
Provider Name (Legal Business Name): JENNIFER BROOKE GARNER RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 06/29/2026
Certification Date: 06/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6842 E 117TH AVE
THORNTON CO
80233-5864
US

IV. Provider business mailing address

6842 E 117TH AVE
THORNTON CO
80233-5864
US

V. Phone/Fax

Practice location:
  • Phone: 720-261-8371
  • Fax:
Mailing address:
  • Phone: 720-261-8371
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WM0102X
TaxonomyMaternal Newborn Registered Nurse
License NumberRN.1661512
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: