Provider Demographics
NPI:1558400143
Name:ADAMS, JEANNE (MT)
Entity Type:Individual
Prefix:MS
First Name:JEANNE
Middle Name:
Last Name:ADAMS
Suffix:
Gender:F
Credentials:MT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:750 E 9TH AVE
Mailing Address - Street 2:STE 208
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80203-3394
Mailing Address - Country:US
Mailing Address - Phone:303-475-2078
Mailing Address - Fax:
Practice Address - Street 1:750 E 9TH AVE
Practice Address - Street 2:STE 208
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80203-3394
Practice Address - Country:US
Practice Address - Phone:303-475-2078
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist