Wellformed AI

NPI 1851821334 · live from the CMS NPI Registry

Jennifer Abbott, PA-C

Physician Assistant in Colorado Springs, CO. National Provider Identifier 1851821334, active.

NPI record

NPI1851821334 Type 1 · individual
StatusActive
Primary specialtyPhysician Assistant 363A00000X
Practice location6071 E Woodmen Rd Ste Unit300, Colorado Springs, CO 80923
Practice phone719-531-7007
Mailing address6071 E Woodmen Rd Ste 300, Colorado Springs, CO 80923
EnumeratedJune 15, 2017
Last updatedOctober 3, 2017
Sole proprietorNo
Other namesJennifer Van Tongeren

Taxonomies and licenses

TaxonomyCodeLicense
Physician Assistant primary363A00000XPA.0001882 (CO)

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