JENNIFER DIANE LONGSHORE

COLORADO SPRINGS, CO
NPI1083222897
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: CO  0995027)
Enumeration Date2020-07-17
Last Update Date2020-12-30
Business Address
JENNIFER DIANE LONGSHORE PNP- PC
6965 TUTT BLVD
COLORADO SPRINGS, CO 80923-3596
Phone number: 719-266-5944
Mailing Address
JENNIFER DIANE LONGSHORE PNP- PC
4891 ECKERT ST
CASTLE ROCK, CO 80104-5430
Phone number: 903-806-4166
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