Bortner, Jacqueline E.
Bortner, Jacqueline E. is an individual health care provider with primary practice located at 1400 E Boulder St Ste 600 , Colorado Springs CO 80909-5533. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Bortner, Jacqueline E. can be contacted via phone (719) 364-8346.Contact Information
Primary practice address
1400 E Boulder St Ste 600
Colorado Springs CO 80909-5533
Phone: (719) 364-8346
Fax: (719) 364-8347
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | UP005248B | Pennsylvania |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | UP005248B | Pennsylvania |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | APN.0990986-NP | Colorado |
Profile Details
| NPI number | 1346234366 |
|---|---|
| LBN Legal business name | Bortner, Jacqueline E. |
| Credentials | CRNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 6th, 2005 |
| Last updated | Apr 4th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346234366 | NPPES |
| Pennsylvania | Other | 225103 | JOHNS HOPKINS |
| Pennsylvania | Other | 342796 | JOHNS HOPKINS |
| Pennsylvania | Other | 686550 | JOHNS HOPKINS |
| Pennsylvania | MEDICAID | 07627262 | JOHNS HOPKINS |
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