Healthcare Provider Details

I. General information

NPI: 1245465731
Provider Name (Legal Business Name): GINGER KAY JAMIESON APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: GINGER KAY FISHER APRN

II. Dates (important events)

Enumeration Date: 05/27/2009
Last Update Date: 05/10/2021
Certification Date: 05/10/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11245 HURON ST
WESTMINSTER CO
80234-2806
US

IV. Provider business mailing address

10350 E DAKOTA AVE
DENVER CO
80247-1314
US

V. Phone/Fax

Practice location:
  • Phone: 303-338-4545
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WP2201X
TaxonomyAmbulatory Care Registered Nurse
License Number81212
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPN.0990891-NP
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: