Provider Demographics
NPI:1558722264
Name:GRAFF, JENNIFER LEIGH (NP)
Entity Type:Individual
Prefix:MISS
First Name:JENNIFER
Middle Name:LEIGH
Last Name:GRAFF
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:JENNIFER
Other - Middle Name:
Other - Last Name:PILGRIM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4900 S MONACO ST STE 210
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80237-3487
Mailing Address - Country:US
Mailing Address - Phone:303-563-2755
Mailing Address - Fax:303-861-6219
Practice Address - Street 1:10107 RIDGEGATE PKWY STE 240
Practice Address - Street 2:
Practice Address - City:LONE TREE
Practice Address - State:CO
Practice Address - Zip Code:80124-5641
Practice Address - Country:US
Practice Address - Phone:303-792-5200
Practice Address - Fax:303-792-5201
Is Sole Proprietor?:No
Enumeration Date:2016-03-09
Last Update Date:2022-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0992287363LG0600X, 363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO486974ZGWFMedicare PIN
COP01699836Medicare PIN