Provider Demographics
NPI:1538306279
Name:LEMMONS, CAREY M (NNP, MSN-BC)
Entity Type:Individual
Prefix:MS
First Name:CAREY
Middle Name:M
Last Name:LEMMONS
Suffix:
Gender:F
Credentials:NNP, MSN-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1101 ELM ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80220-4324
Mailing Address - Country:US
Mailing Address - Phone:303-388-6914
Mailing Address - Fax:
Practice Address - Street 1:1101 ELM ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80220-4324
Practice Address - Country:US
Practice Address - Phone:303-919-3695
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-01-16
Last Update Date:2012-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO164093363LN0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LN0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal