Provider Demographics
NPI:1144024225
Name:DOAN, JENNIFER LEE (APN)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:LEE
Last Name:DOAN
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:JENNIFER
Other - Middle Name:LEE
Other - Last Name:DOAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:JENNI DOAN, APN
Mailing Address - Street 1:687 ARCHES CT
Mailing Address - Street 2:
Mailing Address - City:BERTHOUD
Mailing Address - State:CO
Mailing Address - Zip Code:80513-2684
Mailing Address - Country:US
Mailing Address - Phone:720-442-3861
Mailing Address - Fax:
Practice Address - Street 1:687 ARCHES CT
Practice Address - Street 2:
Practice Address - City:BERTHOUD
Practice Address - State:CO
Practice Address - Zip Code:80513-2684
Practice Address - Country:US
Practice Address - Phone:720-442-3861
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-01
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CORN.0179050163WH0200X
COAPN.1000678-NP363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
No163WH0200XNursing Service ProvidersRegistered NurseHome Health