Provider Demographics
NPI:1083870950
Name:YEMAN, JODI (NP)
Entity Type:Individual
Prefix:
First Name:JODI
Middle Name:
Last Name:YEMAN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7000 E BELLEVIEW AVE STE 301
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80111-1628
Mailing Address - Country:US
Mailing Address - Phone:303-220-9200
Mailing Address - Fax:303-220-9208
Practice Address - Street 1:7000 E BELLEVIEW AVE STE 301
Practice Address - Street 2:
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80111-1628
Practice Address - Country:US
Practice Address - Phone:303-220-9200
Practice Address - Fax:303-220-9208
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-31
Last Update Date:2017-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0992060-NP363LW0102X
CO177928363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health