Doctor Name: | JEANNE FLEAGLE |
NPI Number: | 1740535186 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP-C |
License Number: | 990130 |
Business Practice Address: | 10101 Ridgegate Pkwy 4th Floor Orthopedic Spine Unit Lonetree, CO - 801245522 |
Business Phone Number: | 7202254242 |
Business Fax Number: | 7202254449 |
Mailing Address: | 10101 Ridgegate Pkwy, 4th Floor Orthopedic Spine Unit LONETREE |
State: | CO |
Postal Code: | 801245522 |
Phone Number: | 7202254242 |
Fax Number: | 7202254449 |
NPI Enumeration Date: | 07/23/2012 |
NPI Last Update Date: | 07/23/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | 990130 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |