Provider Demographics
NPI:1629776794
Name:KARSTEN, JENNIFER ILEEN (RN)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:ILEEN
Last Name:KARSTEN
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 1:12820 JASMINE ST UNIT E
Mailing Address - Street 2:
Mailing Address - City:THORNTON
Mailing Address - State:CO
Mailing Address - Zip Code:80602-6928
Mailing Address - Country:US
Mailing Address - Phone:720-525-6425
Mailing Address - Fax:
Practice Address - Street 1:12820 JASMINE ST UNIT E
Practice Address - Street 2:
Practice Address - City:THORNTON
Practice Address - State:CO
Practice Address - Zip Code:80602-6928
Practice Address - Country:US
Practice Address - Phone:720-525-6425
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-20
Last Update Date:2023-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CORN.0182428163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse