Doctor Name: | DR. JESSICA LYNN YANOSIK |
NPI Number: | 1043522840 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | |
Business Practice Address: | 333 W Hampden Ave Suite 600 Englewood, CO - 801102330 |
Business Phone Number: | 3037615646 |
Business Fax Number: | 3037619280 |
Mailing Address: | 333 W. Hampden Ave., Suite 600 ENGLEWOOD |
State: | COLORADO |
Postal Code: | 80110 |
Phone Number: | 3037615646 |
Fax Number: | 3037619280 |
NPI Enumeration Date: | 07/08/2010 |
NPI Last Update Date: | 10/10/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |