Individual provider · Type 1 NPI

Bonnie Jeavons

Specialist · Wheat Ridge, CO

NPI number 1245532571 Active

Practice location

4350 Wadsworth Blvd, Suite 430
Wheat Ridge, CO 80033-4641

Mailing address

1000 Carr St
Lakewood, CO 80214-4019

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X5430 (CO)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1245532571

Bonnie Jeavons's National Provider Identifier is 1245532571, issued on Nov 18, 2010. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Wheat Ridge, CO. The record was last updated on Nov 18, 2010.