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NPI Code Detail

MEDICARE: MRS. COLLEEN SUE JAYNE RN

MEDICARE: MRS. COLLEEN SUE JAYNE RN
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
1163W00000XRegistered NurseRN.0051608CO
22084P0800XPsychiatry PhysicianRN.0051608CO
3163W00000XRegistered Nurse51608CO

General Provider Information

NPI Number : 1851492151
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. COLLEEN SUE JAYNE RN
Provider Business Mailing Address
First Line : 1455 DIXON AVE
Second Line :
City : LAFAYETTE
State : CO
Zip : 80026-8879
Country : US
Telephone Number : 303-443-8500
Fax Number :
Provider Business Practice Location Address
First Line : 1455 DIXON AVE
Second Line :
City : LAFAYETTE
State : CO
Zip : 80026-8879
Country : US
Telephone Number : 303-443-8500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/26/2006
Last Update Date : 05/30/2023

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