Jillian Church, RN
Registered Nurse in Fort Collins, CO. Individual provider (NPI-1).
NPI number1104765643
StatusActive
Last updated in NPPESMar 27, 2026
Details
- NPI
- 1104765643
- Entity type
- Individual (NPI-1)
- Name
- Jillian Church
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 27, 2026
- Certification date
- Mar 27, 2026
- Last updated
- Mar 27, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 1177512 | KY | Yes |
Practice location
4856 Innovation Dr Ste BFort Collins, CO 80525-5540
Phone 970-494-4200
Mailing address
943 Baxter Ave Unit 102Louisville, KY 40204-2096
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