MEDICARE: JENNIFER LEE DOAN APN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WH0200X	Home Health Registered Nurse	RN.0179050	CO
2	363LG0600X	Gerontology Nurse Practitioner	APN.1000678-NP	CO

General Provider Information

NPI Number	:	1144024225
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER LEE DOAN APN

Provider Business Mailing Address
First Line	:	687 ARCHES CT
Second Line	:
City	:	BERTHOUD
State	:	CO
Zip	:	80513-2684
Country	:	US
Telephone Number	:	720-442-3861
Fax Number	:

Provider Business Practice Location Address
First Line	:	925 N LINCOLN ST APT 15A
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80203-2768
Country	:	US
Telephone Number	:	720-442-3861
Fax Number	:	720-815-0378

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/01/2025
Last Update Date	:	03/03/2026

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