Provider Demographics
NPI:1538472832
Name:DREILING, JESSICA LYNN (NP-C)
Entity Type:Individual
Prefix:MRS
First Name:JESSICA
Middle Name:LYNN
Last Name:DREILING
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7735 W LONG DR UNIT 11
Mailing Address - Street 2:SUITE 105
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80123-1262
Mailing Address - Country:US
Mailing Address - Phone:303-904-0331
Mailing Address - Fax:303-948-3153
Practice Address - Street 1:7735 W LONG DR UNIT 11
Practice Address - Street 2:SUITE 105
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80123-1262
Practice Address - Country:US
Practice Address - Phone:303-904-0331
Practice Address - Fax:303-948-3153
Is Sole Proprietor?:No
Enumeration Date:2010-07-15
Last Update Date:2016-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CORN-174570364SF0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SF0001XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistFamily Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
F0610023OtherAMERICAN ACADEMY OF NURSE PRACTITIONERS CERTIFICATION PROGRAM