Provider Demographics
NPI:1558818823
Name:MCCLOSKEY-JUREVICH, JENNIFER (NP)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:
Last Name:MCCLOSKEY-JUREVICH
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:GIA
Other - Middle Name:
Other - Last Name:MCCLOSKEY-JUREVICH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:NP
Mailing Address - Street 1:10218 KENNETH DR
Mailing Address - Street 2:
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80134-8605
Mailing Address - Country:US
Mailing Address - Phone:949-400-4476
Mailing Address - Fax:
Practice Address - Street 1:315 W SOUTH BOULDER RD STE 208
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:CO
Practice Address - Zip Code:80027-1157
Practice Address - Country:US
Practice Address - Phone:720-639-2763
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-05
Last Update Date:2023-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN.0992332-NP363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health