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NPI Code Detail

MEDICARE: JORDAN CHAUNCEY FNP-C

MEDICARE: JORDAN CHAUNCEY FNP-C
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 Practitioner348546NY

General Provider Information

NPI Number : 1851062939
Entity Type Code : Individual
Provider Name (Legal Business Name) : JORDAN CHAUNCEY FNP-C
Provider Business Mailing Address
First Line : 1001 E BAYAUD AVE APT 407
Second Line :
City : DENVER
State : CO
Zip : 80209-2374
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1400 JACKSON ST
Second Line :
City : DENVER
State : CO
Zip : 80206-2762
Country : US
Telephone Number : 303-650-4042
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/28/2021
Last Update Date : 05/14/2026

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Directions to “ JORDAN CHAUNCEY FNP-C” Practice Location

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