Jessica Boat Landry
Pediatrician
13123 E 16th Ave
Aurora
, Colorado 80045
Jessica Boat Landry
Pediatrician
13123 E 16th Ave
Aurora
, Colorado 80045
(303) 493-7000
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About
Features
Specialties
- Pediatrician
Languages spoken
- English
Location
First Address
- Jessica Boat Landry
- Po Box 110429
- Aurora, CO
- Zip : 80042-0429
- Phone : (303) 493-7000
Second Address
- Jessica Boat Landry
- 13123 E 16th Ave
- Aurora, CO
- Zip : 80045
- Phone : (720) 777-1234
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208000000X | Pediatrician | DR.0060688 | CO |
| N | 208000000X | Pediatrician | R3364 | TX |
National Provider Identifier
| NPI | 1003234683 |
|---|---|
| Provider Name | Jessica Boat Landry |
| First Address | Aurora, CO 80042-0429 |
| Second Address | Aurora, CO 80045 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/04/2014 |
| Last Update Date | 22/08/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.