Provider Demographics
NPI:1649619602
Name:ALLEN, JENNIFER BROOKE (CRNA)
Entity type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:BROOKE
Last Name:ALLEN
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:MRS
Other - First Name:JENNIFER
Other - Middle Name:BROOKE
Other - Last Name:SUAREZ SMITH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CRNA
Mailing Address - Street 1:8000 E MAPLEWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80111-4766
Mailing Address - Country:US
Mailing Address - Phone:303-785-4700
Mailing Address - Fax:
Practice Address - Street 1:401 E SPRUCE ST
Practice Address - Street 2:
Practice Address - City:GARDEN CITY
Practice Address - State:KS
Practice Address - Zip Code:67846-5679
Practice Address - Country:US
Practice Address - Phone:620-272-2222
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-22
Last Update Date:2021-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP60942489367500000X
UT10860300-4406367500000X
KS43-557762367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered