Provider Demographics
NPI:1568130524
Name:STURGEON, JACQUELINE I (RN)
Entity Type:Individual
Prefix:MRS
First Name:JACQUELINE
Middle Name:I
Last Name:STURGEON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4640 KETCHWOOD CIR
Mailing Address - Street 2:
Mailing Address - City:HIGHLANDS RANCH
Mailing Address - State:CO
Mailing Address - Zip Code:80130-8803
Mailing Address - Country:US
Mailing Address - Phone:303-359-7830
Mailing Address - Fax:
Practice Address - Street 1:4640 KETCHWOOD CIR
Practice Address - Street 2:
Practice Address - City:HIGHLANDS RANCH
Practice Address - State:CO
Practice Address - Zip Code:80130-8803
Practice Address - Country:US
Practice Address - Phone:303-359-7830
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-02
Last Update Date:2021-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CORN.1648966163WC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine