Provider Demographics
NPI:1750939450
Name:JEFFREY-HOWE, JACY KATHERINE (CNM)
Entity type:Individual
Prefix:
First Name:JACY
Middle Name:KATHERINE
Last Name:JEFFREY-HOWE
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:VIMALA
Other - Middle Name:KATHERINE
Other - Last Name:JEFFREY-HOWE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN
Mailing Address - Street 1:7780 S BROADWAY STE 280
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80122-2633
Mailing Address - Country:US
Mailing Address - Phone:303-738-1100
Mailing Address - Fax:303-738-1310
Practice Address - Street 1:7780 S BROADWAY STE 280
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80122-2633
Practice Address - Country:US
Practice Address - Phone:303-738-1100
Practice Address - Fax:303-738-1310
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-27
Last Update Date:2024-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CORN.1661097163W00000X
COAPN.0999205-CNM367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No163W00000XNursing Service ProvidersRegistered Nurse