Provider Demographics
NPI:1205554797
Name:FEHR, JENNIFER WHITNEY (NP)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:WHITNEY
Last Name:FEHR
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:360 PEAK ONE DRIVE, SUITE 100
Mailing Address - Street 2:PO BOX 4337
Mailing Address - City:FRISCO
Mailing Address - State:CO
Mailing Address - Zip Code:80443
Mailing Address - Country:US
Mailing Address - Phone:970-668-4040
Mailing Address - Fax:
Practice Address - Street 1:360 PEAK ONE DRIVE, SUITE 100
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:CO
Practice Address - Zip Code:80443
Practice Address - Country:US
Practice Address - Phone:970-668-4040
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-19
Last Update Date:2023-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1643302163WG0000X, 163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice