Provider Demographics
NPI:1730713306
Name:JOHNSON-MEYERS, JENNIFER ROSE (RN-MSN, FNP-C)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:ROSE
Last Name:JOHNSON-MEYERS
Suffix:
Gender:F
Credentials:RN-MSN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19096 W 94TH AVE
Mailing Address - Street 2:
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80007-8117
Mailing Address - Country:US
Mailing Address - Phone:720-501-8456
Mailing Address - Fax:
Practice Address - Street 1:7850 RALEIGH PL
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80030-4426
Practice Address - Country:US
Practice Address - Phone:720-501-8456
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-23
Last Update Date:2022-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN.0995391-NP363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner