Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0000X | Nurse Practitioner - Neonatal | RN.1653023 | CO |
NPI | 1053992545 |
---|---|
Provider Name | Jasmine Paulson |
First Address | Colorado Springs, CO 80923-6375 |
Second Address | Colorado Springs, CO 80920-7815 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/04/2021 |
Last Update Date | 16/04/2021 |