Healthcare Provider Details

I. General information

NPI: 1811761422
Provider Name (Legal Business Name): JESSICA CANO NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/14/2023
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8300 ALCOTT ST STE 200
WESTMINSTER CO
80031-4029
US

IV. Provider business mailing address

8300 ALCOTT ST STE 200
WESTMINSTER CO
80031-4029
US

V. Phone/Fax

Practice location:
  • Phone: 720-443-8461
  • Fax: 833-992-2280
Mailing address:
  • Phone: 720-443-8461
  • Fax: 833-992-2280

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number0199381
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11029615
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number9577851
License Number StateFL
# 4
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1001357
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: