Provider Demographics
NPI:1952946063
Name:JAHAN, KHATERA (FNP-C)
Entity Type:Individual
Prefix:
First Name:KHATERA
Middle Name:
Last Name:JAHAN
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11027 S PIKES PEAK DR STE 202
Mailing Address - Street 2:
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80138-7362
Mailing Address - Country:US
Mailing Address - Phone:720-542-3487
Mailing Address - Fax:
Practice Address - Street 1:11027 S PIKES PEAK DR STE 202
Practice Address - Street 2:
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80138-7362
Practice Address - Country:US
Practice Address - Phone:720-542-3487
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-11-12
Last Update Date:2023-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN.0994659-NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily