Provider Demographics
NPI:1528357209
Name:BARE, JESSICA BRYNN (DO)
Entity Type:Individual
Prefix:DR
First Name:JESSICA
Middle Name:BRYNN
Last Name:BARE
Suffix:
Gender:F
Credentials:DO
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Mailing Address - Street 1:1107S LEMAY AVE 300
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80524-3955
Mailing Address - Country:US
Mailing Address - Phone:970-493-7442
Mailing Address - Fax:970-493-2990
Practice Address - Street 1:2500 ROCKY MOUNTAIN AVE
Practice Address - Street 2:NORTH MOB, SUITE 150
Practice Address - City:LOVELAND
Practice Address - State:CO
Practice Address - Zip Code:80538-9004
Practice Address - Country:US
Practice Address - Phone:970-493-7442
Practice Address - Fax:970-493-2990
Is Sole Proprietor?:No
Enumeration Date:2011-04-01
Last Update Date:2020-03-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CO55359207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology