Nedom, Jessica Susana

Nedom, Jessica Susana is an individual health care provider with primary practice located at 2930 11Th Ave , Evans CO 80620-1011. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Nedom, Jessica Susana can be contacted via phone (970) 353-9403.

Contact Information

Primary practice address
2930 11Th Ave Evans CO 80620-1011
Phone: (970) 353-9403
Fax: (970) 353-9906
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 10334 Colorado
Nursing Service Providers / Registered Nurse 163W00000X 176219 Colorado

Profile Details

NPI number 1184936627
LBN Legal business name Nedom, Jessica Susana
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2010
Last updated Jan 15th, 2026 - about 9 months 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 1184936627 NPPES
Colorado MEDICAID 37179870

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