JESSICA FYNBOH MS PMHNP-BC APRN NPI 1174909618

NPI Information

NPI: 1174909618
Provider Name: JESSICA FYNBOH, MS, PMHNP-BC, APRN
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
10465 MELODY DR STE 226
NORTHGLENN, CO
ZIP 80234
Phone: (720) 331-6899
Get Directions

Jessica Fynboh, MS, PMHNP-BC, APRN is a psychiatric/mental health nurse practitioner in Northglenn, CO with 9 years of experience. Jessica Fynboh, MS, PMHNP-BC, APRN NPI is 1174909618. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

10465 MELODY DR STE 226
NORTHGLENN, CO
ZIP 80234
Phone: (720) 331-6899
Fax: (720) 306-5499

The NPI 1174909618 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/6/2015 and was last updated on 3/31/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	APN.0992275-NP	COLORADO	Yes
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	RXN.0101875-NP	COLORADO	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1174909618	MEDICAID	COLORADO
2	1174909618	OTHER	COLORADO	NPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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