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JENNA HOMSHER FNP-BC

>> Registered Nurse >> Nursing Service Providers

Registrant NPI Number: 1659767853

Individual Registrant:
 JENNA  HOMSHER FNP-BC
Gender: F
Not Sole Proprietor

Location and contact information for practice:
137 N KANSAS  WALSH, CO 81090 US
Tel: 719-324-5253  Fax: --

Contact information for business:
PO BOX 608  WALSH, CO 81090-0608 US
Tel: 719-324-5253  Fax: --

Registration Information:
NPI: 1659767853
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N163W00000XNursing Service Providers
Registered Nurse
CO0195546
N163W00000XNursing Service Providers
Registered Nurse
KS14-113161-051
N363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
KS76867
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
COAPN.0991850-NP

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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