Jesse Enoch Smith, APRN | |
182 16th St, Burlington, CO 80807-1649 | |
(719) 346-9481 | |
(719) 346-9485 |
Full Name | Jesse Enoch Smith |
---|---|
Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 182 16th St, Burlington, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174099170 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | APN-0994197-NP (Colorado) | Primary |
Entity Name | Kit Carson County Health Services District |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932211596 PECOS PAC ID: 4385637917 Enrollment ID: O20040407001317 |
Mailing Address | Practice Location Address |
---|---|
Jesse Enoch Smith, APRN 182 16th St, Burlington, CO 80807-1649 Ph: (719) 346-9481 | Jesse Enoch Smith, APRN 182 16th St, Burlington, CO 80807-1649 Ph: (719) 346-9481 |
Susan Marie Dorman, RN, CS-FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 451 14th St, Burlington, CO 80807 Phone: 719-346-4681 Fax: 719-346-8742 | |
Mrs. Alexandra J Hitchcock, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 182 16th St, Burlington, CO 80807 Phone: 719-346-4681 | |
Ms. Kathryn Grace Rittenhouse, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1177 Rose Ave, Burlington, CO 80807 Phone: 719-346-5239 Fax: 719-346-5268 | |
Caitlyn Griffin, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 451 14th St, Burlington, CO 80807 Phone: 719-345-4681 |