MEDICARE: MRS. JENNIFER GUERNSEY CPNP-PC

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	363LP0200X	Pediatric Nurse Practitioner	0160610	CO

General Provider Information

NPI Number	:	1972785731
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JENNIFER GUERNSEY CPNP-PC

Provider Business Mailing Address
First Line	:	5603 FIRESIDE CT
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80528-9125
Country	:	US
Telephone Number	:	970-218-2336
Fax Number	:	307-778-5812

Provider Business Practice Location Address
First Line	:	5603 FIRESIDE CT
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80528-9125
Country	:	US
Telephone Number	:	970-218-2336
Fax Number	:

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

Provider Enumeration Date	:	12/03/2007
Last Update Date	:	01/16/2024

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