Provider Demographics
NPI:1093427924
Name:AV8R & NP PLLC
Entity Type:Organization
Organization Name:AV8R & NP PLLC
Other - Org Name:MENTALLY STRONG PARKER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/ PROVIDER
Authorized Official - Prefix:MS
Authorized Official - First Name:JILL
Authorized Official - Middle Name:AYN
Authorized Official - Last Name:ORR
Authorized Official - Suffix:
Authorized Official - Credentials:MSN, APRN, PMHNP-BC
Authorized Official - Phone:303-550-1979
Mailing Address - Street 1:11027 S PIKES PEAK DR STE 204
Mailing Address - Street 2:
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80138-7362
Mailing Address - Country:US
Mailing Address - Phone:303-351-2202
Mailing Address - Fax:
Practice Address - Street 1:11027 S PIKES PEAK DR STE 105
Practice Address - Street 2:
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80138-7361
Practice Address - Country:US
Practice Address - Phone:303-351-2202
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-22
Last Update Date:2024-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty