| |
5390 N Academy Blvd Ste 150, Colorado Springs, CO 80918-4064 | |
(303) 741-0990 | |
(303) 741-0990 |
Full Name | |
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Type | Facility |
Speciality | Nurse Practitioner - Family |
Location | 5390 N Academy Blvd Ste 150, Colorado Springs, Colorado |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1811658289 | NPI | - | NPPES |
Provider Name | Jill Clarris Henry |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1942081989 PECOS PAC ID: 1951749571 Enrollment ID: I20240402002324 |
Mailing Address | Practice Location Address |
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6825 S Galena St Ste 200, Centennial, CO 80112-3630 Ph: (720) 741-0990 | 5390 N Academy Blvd Ste 150, Colorado Springs, CO 80918-4064 Ph: (303) 741-0990 |