Corliss, Jaci Kayla

Corliss, Jaci Kayla is an individual health care provider with primary practice located at 700 Centre Ave , Fort Collins CO 80526-2023. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Corliss, Jaci Kayla can be contacted via phone (970) 494-4200.

Contact Information

Primary practice address
700 Centre Ave Fort Collins CO 80526-2023
Phone: (970) 494-4200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X PN.0335643 Colorado

Profile Details

NPI number 1154970937
LBN Legal business name Corliss, Jaci Kayla
Credentials LPN, CNA
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 5th, 2019
Last updated Sep 5th, 2019 - about 7 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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