Provider Demographics
NPI:1750921102
Name:STEARNS, JILL KATHLEEN (CPNP-PC)
Entity type:Individual
Prefix:
First Name:JILL
Middle Name:KATHLEEN
Last Name:STEARNS
Suffix:
Gender:F
Credentials:CPNP-PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6732 S KIT CARSON CIR E
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80122-1218
Mailing Address - Country:US
Mailing Address - Phone:760-809-5780
Mailing Address - Fax:
Practice Address - Street 1:2352 MEADOWS BLVD STE 170
Practice Address - Street 2:
Practice Address - City:CASTLE ROCK
Practice Address - State:CO
Practice Address - Zip Code:80109-8409
Practice Address - Country:US
Practice Address - Phone:303-688-5226
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-14
Last Update Date:2022-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN.0994345-NP363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatricsGroup - Single Specialty