Wellformed AI

NPI 1124818026 · live from the CMS NPI Registry

Agape Wound Care LLC

Physician Assistant in Lone Tree, CO. National Provider Identifier 1124818026, active.

NPI record

NPI1124818026 Type 2 · organization
StatusActive
Primary specialtyPhysician Assistant 363A00000X
Practice location9556 Park Meadows Dr Ste 300, Lone Tree, CO 80124
Practice phone720-654-4221
Mailing address4466 Dusty Pine Trl, Castle Rock, CO 80109
EnumeratedMay 12, 2025
Last updatedAugust 1, 2025
Authorized officialJillian Just, Owner
Other namesAgape Wound Care

Taxonomies and licenses

TaxonomyCodeLicense
Physician Assistant primary363A00000X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.