Jennifer Abbott, PA-C
Physician Assistant in Colorado Springs, CO. Individual provider (NPI-1).
NPI number1851821334
StatusActive
Last updated in NPPESOct 3, 2017
Details
- NPI
- 1851821334
- Entity type
- Individual (NPI-1)
- Name
- Jennifer Abbott
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 15, 2017
- Last updated
- Oct 3, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA.0001882 | CO | Yes |
Other names
- Jennifer Van Tongeren (Former Name)
Practice location
6071 E Woodmen Rd Ste Unit300Colorado Springs, CO 80923-2607
Phone 719-531-7007
Mailing address
6071 E Woodmen Rd Ste 300Colorado Springs, CO 80923-2613
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