NPI 1194121657 · live from the CMS NPI Registry
Jennifer V Abraham, PA-C
Physician Assistant, Medical in Fort Collins, CO. National Provider Identifier 1194121657, active.
NPI record
| NPI | 1194121657 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant, Medical 363AM0700X |
| Practice location | 3433 Warren Farm Dr, Fort Collins, CO 80526 |
| Practice phone | 651-319-1563 |
| Enumerated | November 11, 2014 |
| Last updated | July 7, 2015 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant, Medical primary | 363AM0700X | 0004068 (CO) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.