Provider Demographics
NPI:1669693404
Name:FARAGHER, JANA F (FNP, DNP)
Entity type:Individual
Prefix:
First Name:JANA
Middle Name:F
Last Name:FARAGHER
Suffix:
Gender:F
Credentials:FNP, DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 HILLCREST PLAZA WAY
Mailing Address - Street 2:
Mailing Address - City:MONTROSE
Mailing Address - State:CO
Mailing Address - Zip Code:81401-5876
Mailing Address - Country:US
Mailing Address - Phone:970-615-7223
Mailing Address - Fax:970-615-7226
Practice Address - Street 1:5 HILLCREST PLAZA WAY
Practice Address - Street 2:
Practice Address - City:MONTROSE
Practice Address - State:CO
Practice Address - Zip Code:81401-5876
Practice Address - Country:US
Practice Address - Phone:970-615-7223
Practice Address - Fax:970-615-7226
Is Sole Proprietor?:No
Enumeration Date:2007-05-01
Last Update Date:2021-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO161092163W00000X
CORXN0101786NP363L00000X
CO2014013731363LP2300X
COAPN.0991611-NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO0991611OtherNURSE PRACTITIONER AT CEDAR POINT HEALTH
CO0161092OtherREGISTERED NURSE