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NPI Code Detail

MEDICARE: JACOB A OKLESHEN ARNP, DNP

MEDICARE:   JACOB A OKLESHEN  ARNP, DNP
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
1363LC0200XCritical Care Medicine Nurse PractitionerAP61567651WA
2363LA2100XAcute Care Nurse PractitionerAP61567651WA
3363LG0600XGerontology Nurse PractitionerAPN.0106081-NPCO

General Provider Information

NPI Number : 1710660253
Entity Type Code : Individual
Provider Name (Legal Business Name) : JACOB A OKLESHEN ARNP, DNP
Provider Business Mailing Address
First Line : 2695 ROCKY MOUNTAIN AVE STE 150
Second Line :
City : LOVELAND
State : CO
Zip : 80538-9071
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2500 ROCKY MOUNTAIN AVE STE 230
Second Line :
City : LOVELAND
State : CO
Zip : 80538-9004
Country : US
Telephone Number : 970-495-7421
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/10/2023
Last Update Date : 03/22/2026

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