Provider Demographics
NPI:1225633753
Name:GORTON, JAMI ELAINE (AGNP)
Entity Type:Individual
Prefix:MRS
First Name:JAMI
Middle Name:ELAINE
Last Name:GORTON
Suffix:
Gender:F
Credentials:AGNP
Other - Prefix:MS
Other - First Name:JAMI
Other - Middle Name:ELAINE
Other - Last Name:SCHELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:125 ROCK BRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:WINDSOR
Mailing Address - State:CO
Mailing Address - Zip Code:80550-6150
Mailing Address - Country:US
Mailing Address - Phone:970-492-5310
Mailing Address - Fax:
Practice Address - Street 1:125 ROCK BRIDGE DR
Practice Address - Street 2:
Practice Address - City:WINDSOR
Practice Address - State:CO
Practice Address - Zip Code:80550-6150
Practice Address - Country:US
Practice Address - Phone:970-492-5310
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-02
Last Update Date:2020-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN-0996107-NP363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology