Provider Demographics
NPI:1801586235
Name:GRIFFITHS, JESSICA MAE (MSN, APRN, FNP-BC)
Entity type:Individual
Prefix:MS
First Name:JESSICA
Middle Name:MAE
Last Name:GRIFFITHS
Suffix:
Gender:F
Credentials:MSN, APRN, FNP-BC
Other - Prefix:
Other - First Name:JESSICA
Other - Middle Name:MAE
Other - Last Name:DONDERO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1265 RIMROCK DR
Mailing Address - Street 2:
Mailing Address - City:SILT
Mailing Address - State:CO
Mailing Address - Zip Code:81652-8100
Mailing Address - Country:US
Mailing Address - Phone:970-390-4171
Mailing Address - Fax:
Practice Address - Street 1:1906 BLAKE AVE
Practice Address - Street 2:
Practice Address - City:GLENWOOD SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:81601-4259
Practice Address - Country:US
Practice Address - Phone:970-384-7300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-09
Last Update Date:2023-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CORXN.0107768-NP363L00000X
COAPN.0998637363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner