Individual provider · NPI-1

Jessica Lynn Eret, PA

Nurse Practitioner, Pediatrics · Thornton, CO

NPI number1164826822
StatusActive
Last updated in NPPESJul 20, 2018

Details

NPI
1164826822
Entity type
Individual (NPI-1)
Name
Jessica Lynn Eret
Credential
PA
Sex
Female
Sole proprietor
No
Enumeration date
Oct 9, 2014
Last updated
Jul 20, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LP0200X Nurse Practitioner, PediatricsAPN.0991407-NPCOYes

Other names

  • Jessica Gillesse (Former Name)

Practice location

12774 Colorado Blvd
Suite #141
Thornton, CO 80241

Phone 303-996-6005

Mailing address

3555 Lutheran Pkwy
Suite #340 & 370
Wheat Ridge, CO 80033-6021

Phone 303-996-6005

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Nurse Practitioner, Pediatrics providers in Thornton, CO