Provider Demographics
NPI:1427192228
Name:STEBBINS, JANE A (RN)
Entity Type:Individual
Prefix:MR
First Name:JANE
Middle Name:A
Last Name:STEBBINS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5695 W PLYMOUTH DR
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80128-3970
Mailing Address - Country:US
Mailing Address - Phone:303-972-1407
Mailing Address - Fax:
Practice Address - Street 1:5695 W PLYMOUTH DR
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80128-3970
Practice Address - Country:US
Practice Address - Phone:303-972-1407
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-16
Last Update Date:2007-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO97844207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
006668OtherKAISER-COMMERCIAL NUMBER
COC1427192228Medicare PIN