AMY JACKSON

CHEYENNE, WY
NPI1295500999
Former NameAMY ACEVEDO
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LG0600X Nurse Practitioner, Gerontology
(Licence: CO  APN.0999288-NP)
Additional Taxonomies363L00000X Nurse Practitioner
(Licence: WY  53523)
363L00000X Nurse Practitioner
(Licence: CO  APN.0999288-NP)
363LG0600X Nurse Practitioner, Gerontology
(Licence: WY  53523)
363LA2100X Nurse Practitioner, Acute Care
(Licence: CO  APN.0999288-NP)
Enumeration Date2023-11-22
Last Update Date2024-09-16
Business Address
AMY JACKSON AGACNP-BC, APN
214 E 23RD ST
CHEYENNE, WY 82001-3748
Phone number: 307-634-2273
Mailing Address
AMY JACKSON AGACNP-BC, APN
2028 HUNTINGTON CIR
FORT COLLINS, CO 80526-1510
Phone number: 501-617-3931