Provider Demographics
NPI:1689556219
Name:FELL, JACQUELINE RACHEL (FNP)
Entity type:Individual
Prefix:
First Name:JACQUELINE
Middle Name:RACHEL
Last Name:FELL
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2833 TRINITY LOOP
Mailing Address - Street 2:
Mailing Address - City:BROOMFIELD
Mailing Address - State:CO
Mailing Address - Zip Code:80023-4673
Mailing Address - Country:US
Mailing Address - Phone:714-822-9622
Mailing Address - Fax:
Practice Address - Street 1:1891 STATE HIGHWAY 7
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:CO
Practice Address - Zip Code:80516-8003
Practice Address - Country:US
Practice Address - Phone:303-729-4180
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-24
Last Update Date:2025-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN.1000975-NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily