Provider Demographics
NPI:1447595277
Name:ROSENBAUGH, JENNIFER HAYNES (RN, MSN, FNP-C)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:HAYNES
Last Name:ROSENBAUGH
Suffix:
Gender:F
Credentials:RN, MSN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8340 SANGRE DE CRISTO RD STE 105
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80127-4249
Mailing Address - Country:US
Mailing Address - Phone:303-932-2111
Mailing Address - Fax:
Practice Address - Street 1:8340 SANGRE DE CRISTO RD STE 105
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80127-4249
Practice Address - Country:US
Practice Address - Phone:303-932-2111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-12-05
Last Update Date:2014-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CONP0990503363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily