person
Jennifer Diane Longshore, PNP-PC
Pediatric Nurse Practitioner in Colorado Springs, Colorado
NPI 1083222897

Jennifer Diane Longshore is a Pediatric Nurse Practitioner based in Castle Rock, CO and is specialized in Pediatrics. Jennifer Diane Longshore practices in Colorado Springs, CO and has the professional credentials of PNP-PC. The NPI Number for Jennifer Diane Longshore is 1083222897 and holds a License No. 0995027 (Colorado).

The current practice location address for Jennifer Diane Longshore is 6965 Tutt Blvd, Colorado Springs, CO and can be reached out via phone at 719-266-5944.

Location: 6965 Tutt Blvd, Colorado Springs, CO, 80104-5430
person
Provider Profile Details
NPI Number
1083222897
Provider Name
Jennifer Diane Longshore
Credential
PNP-PC
Provider Entity Type
Individual
Gender
Female
Address
6965 Tutt Blvd, Colorado Springs, CO, 80104-5430
Phone Number
719-266-5944
Fax Number
Provider Enumeration Date
07/17/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6965 Tutt Blvd
City
State
Zip
80923-3596
Phone Number
719-266-5944
Fax Number
person
Provider Business Mailing Address Details
Address
6965 Tutt Blvd
City
State
Zip
80923-3596
Phone Number
719-266-5944
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
0995027 (Colorado)
Definition
Definition to come...
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