Provider Demographics
NPI:1730824731
Name:JORDAN ABEL, JENNI (RN)
Entity type:Individual
Prefix:
First Name:JENNI
Middle Name:
Last Name:JORDAN ABEL
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2530 EUDORA ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80207-3215
Mailing Address - Country:US
Mailing Address - Phone:303-394-3026
Mailing Address - Fax:
Practice Address - Street 1:6110 E COLFAX AVE STE 4-240
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80220-1566
Practice Address - Country:US
Practice Address - Phone:720-849-0823
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-03
Last Update Date:2022-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0109060163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant