Individual provider · Type 1 NPI

Jessica Crystal Peck

Nurse Practitioner · Lafayette, CO

NPI number 1477433431 Active

Practice location

2594 Trailridge Dr E
Lafayette, CO 80026-3186

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X1635728 (CO)
Nurse Practitioner Primary 363L00000XAG01260062 (CO)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1477433431

Jessica Crystal Peck's National Provider Identifier is 1477433431, issued on Sep 2, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Lafayette, CO. The record was last updated on Jul 8, 2026.