Individual provider · Type 1 NPI

Jessica Mae Light, APN, AGNP-BC

Primary Care Nurse Practitioner · Parker, CO

NPI number 1932734878 Active

Practice location

12230 Lioness Way
Parker, CO 80134-5603

Other practice locations

  • 5023 W 120th Ave # 312, Broomfield, CO 80020-5606 · (720) 644-9355

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner 363LG0600XAPN.0995140-NP (CO)
Primary Care Nurse Practitioner Primary 363LP2300XAPN.0995140-NP (CO)

Primary Care Nurse Practitioner: Definition to come...

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About NPI 1932734878

Jessica Mae Light, APN, AGNP-BC's National Provider Identifier is 1932734878, issued on Mar 11, 2020. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Parker, CO. The record was last updated on Aug 24, 2021.