Individual provider · Type 1 NPI

Janae Ila Haycock, CPNP

Pediatric Nurse Practitioner · Parker, CO

NPI number 1801119383 Active

Practice location

9235 Crown Crest Blvd, Suite 100
Parker, CO 80138-8880

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner 363LP0200X347403-4405 (UT)
Pediatric Nurse Practitioner Primary 363LP0200XC-APN.0000260-C-NP (CO)
Pediatric Nurse Practitioner 363LP0200XC-RXN.0000095-C-NP (CO)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1801119383

Janae Ila Haycock, CPNP's National Provider Identifier is 1801119383, issued on Mar 11, 2010. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Parker, CO. The record was last updated on Dec 8, 2014.