Individual provider · Type 1 NPI
Jennifer Wortmann, NP
Psychiatric/Mental Health Nurse Practitioner · Pueblo, CO
NPI number
1053682385
Active
Practice location
1600 W 24th St Ste 100
Pueblo, CO 81003-1411
Mailing address
1600 W 24th St
Pueblo, CO 81003-1411
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 161849 (CO) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 0991123 (CO) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1053682385
Jennifer Wortmann, NP's National Provider Identifier is 1053682385, issued on Jan 18, 2012. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Pueblo, CO. The record was last updated on Jan 3, 2023.