Jackson, Cynthia

Jackson, Cynthia is an individual health care provider with primary practice located at 6093 S Quebec St Ste 100 , Centennial CO 80111-4543. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Community Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Jackson, Cynthia can be contacted via phone (303) 770-6933.

Contact Information

Primary practice address
6093 S Quebec St Ste 100 Centennial CO 80111-4543
Phone: (303) 770-6933
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Community Health 163WC1500X 176692 Colorado
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 990052 Colorado

Profile Details

NPI number 1215022280
LBN Legal business name Jackson, Cynthia
Credentials PSYCH NP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2006
Last updated Jul 21st, 2021 - about 5 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 1215022280 NPPES
Colorado MEDICAID 71671218

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