Individual provider · Type 1 NPI

Jaci Kayla Corliss, LPN, CNA

Licensed Practical Nurse · Fort Collins, CO

NPI number 1154970937 Active

Practice location

700 Centre Ave
Fort Collins, CO 80526-2023

Mailing address

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

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XPN.0335643 (CO)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1154970937

Jaci Kayla Corliss, LPN, CNA's National Provider Identifier is 1154970937, issued on Sep 5, 2019. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Fort Collins, CO. The record was last updated on Sep 5, 2019.