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NPI Code Detail

MEDICARE: JONATHAN LEJEUNE APRN

MEDICARE: JONATHAN LEJEUNE APRN
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
1363LF0000XFamily Nurse PractitionerAPN.1000460-NPCO

General Provider Information

NPI Number : 1770157265
Entity Type Code : Individual
Provider Name (Legal Business Name) : JONATHAN LEJEUNE APRN
Provider Business Mailing Address
First Line : 6363 W 120TH AVE
Second Line :
City : BROOMFIELD
State : CO
Zip : 80020-0300
Country : US
Telephone Number : 303-440-8243
Fax Number :
Provider Business Practice Location Address
First Line : 2995 BASELINE RD STE 200
Second Line :
City : BOULDER
State : CO
Zip : 80303-2318
Country : US
Telephone Number : 303-440-8243
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2021
Last Update Date : 04/14/2026

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Directions to “ JONATHAN LEJEUNE APRN” Practice Location

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