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:
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Health care specialties

SpecialtyCodeLicense #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 3 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.

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Identifiers

StateTypeNumberIssuer
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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