Provider Demographics
NPI:1689738056
Name:DEMEAUX, JENNY (NP)
Entity Type:Individual
Prefix:MS
First Name:JENNY
Middle Name:
Last Name:DEMEAUX
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7829 W 38TH AVE
Mailing Address - Street 2:
Mailing Address - City:WHEAT RIDGE
Mailing Address - State:CO
Mailing Address - Zip Code:80033-6109
Mailing Address - Country:US
Mailing Address - Phone:303-399-6126
Mailing Address - Fax:720-612-7368
Practice Address - Street 1:1743 WALNUT ST STE 3
Practice Address - Street 2:
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80302-5584
Practice Address - Country:US
Practice Address - Phone:303-449-3777
Practice Address - Fax:303-449-3775
Is Sole Proprietor?:No
Enumeration Date:2006-12-20
Last Update Date:2020-07-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CO59201363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health