Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | APN.0996121-NP | CO |
NPI | 1033706247 |
---|---|
Provider Name | Jessica Ojeda |
First Address | La Junta, CO 81050-0270 |
Second Address | La Junta, CO 81050-2751 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/12/2020 |
Last Update Date | 22/12/2020 |