Provider Demographics
NPI:1952344798
Name:JARNES, CAROLYN J (RNFA/NP)
Entity Type:Individual
Prefix:
First Name:CAROLYN
Middle Name:J
Last Name:JARNES
Suffix:
Gender:F
Credentials:RNFA/NP
Other - Prefix:
Other - First Name:CAROLYN
Other - Middle Name:J
Other - Last Name:COTHRAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RNFA/NP
Mailing Address - Street 1:319 N INSTITUTE ST
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80903-3117
Mailing Address - Country:US
Mailing Address - Phone:719-398-1415
Mailing Address - Fax:
Practice Address - Street 1:4010 REGENCY DR
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80906-4382
Practice Address - Country:US
Practice Address - Phone:719-398-1415
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-13
Last Update Date:2019-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO82751163W00000X
COAPN.0994481-NP363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse