Provider Demographics
NPI:1083002372
Name:WEINSTEIN, JACOB (APN)
Entity Type:Individual
Prefix:
First Name:JACOB
Middle Name:
Last Name:WEINSTEIN
Suffix:
Gender:M
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 COLORADO BLVD # 729
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80206-4084
Mailing Address - Country:US
Mailing Address - Phone:720-541-9570
Mailing Address - Fax:970-449-0575
Practice Address - Street 1:6825 E TENNESSEE AVE STE 325
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80224-1645
Practice Address - Country:US
Practice Address - Phone:720-541-9570
Practice Address - Fax:907-449-0575
Is Sole Proprietor?:No
Enumeration Date:2015-01-08
Last Update Date:2023-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN-0991533-NP363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care