Provider Demographics
NPI:1982169256
Name:HOUCK, JADEN AMANDA (FNP-C)
Entity type:Individual
Prefix:
First Name:JADEN
Middle Name:AMANDA
Last Name:HOUCK
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:JADEN
Other - Middle Name:AMANDA
Other - Last Name:BRANDENBURG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 932958
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44193-0028
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1842 N COLLEGE AVE
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80524-1323
Practice Address - Country:US
Practice Address - Phone:970-494-6975
Practice Address - Fax:970-494-6976
Is Sole Proprietor?:No
Enumeration Date:2019-01-31
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN.0993977-NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily