Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225000000X | Orthotic Fitter | APN.0994914-NP | CO |
Y | 363L00000X | Nurse Practitioner | APN.0994914-NP | CO |
N | 363LA2200X | Nurse Practitioner - Adult Health | APN0994914-NP | CO |
N | 363LF0000X | Nurse Practitioner - Family Medicine | APN.0994914-NP | CO |
NPI | 1255986741 |
---|---|
Provider Name | Jennifer Flickinger |
First Address | Denver, CO 80222-3325 |
Second Address | Colorado Springs, CO 80906-7393 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/08/2019 |
Last Update Date | 07/04/2021 |