Jessica Joy Reiss
Nurse Practitioner - Primary Care Nurse Practitioner - Community Health
2942 Evergreen Pkwy Ste 100
Evergreen
, Colorado 80439-7909
Jessica Joy Reiss
Nurse Practitioner - Primary Care Nurse Practitioner - Community Health
2942 Evergreen Pkwy Ste 100
Evergreen
, Colorado 80439-7909
(303) 338-4545
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About
Features
Specialties
- Nurse Practitioner - Community Health
- Nurse Practitioner - Primary Care
Languages spoken
- English
Location
First Address
- Jessica Joy Reiss
- 2942 Evergreen Pkwy Ste 100
- Evergreen, CO
- Zip : 80439-7909
- Phone : (303) 338-4545
Second Address
- Jessica Joy Reiss
- 2942 Evergreen Pkwy Ste 100
- Evergreen, CO
- Zip : 80439-7909
- Phone : (303) 338-4545
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 363LC1500X | Nurse Practitioner - Community Health | 126657 | CO |
| Y | 363LP2300X | Nurse Practitioner - Primary Care | 5350 | CO |
National Provider Identifier
| NPI | 1770772683 |
|---|---|
| Provider Name | Jessica Joy Reiss |
| First Address | Evergreen, CO 80439-7909 |
| Second Address | Evergreen, CO 80439-7909 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/10/2007 |
| Last Update Date | 12/07/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 023659 | KAISER COMMERCIAL NUMBER (01) | CO |
| 16452313 | (05) | CO |
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.