Individual provider · Type 1 NPI

Jillian Church, RN

Registered Nurse · Fort Collins, CO

NPI number 1104765643 Active

Practice location

4856 Innovation Dr Ste B
Fort Collins, CO 80525-5540

Call (970) 494-4200 Map

Mailing address

943 Baxter Ave Unit 102
Louisville, KY 40204-2096

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X1177512 (KY)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1104765643

Jillian Church, RN's National Provider Identifier is 1104765643, issued on Mar 27, 2026. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Fort Collins, CO. The record was last updated on Mar 27, 2026.