Sederberg, Jennifer Renee

Sederberg, Jennifer Renee is an individual health care provider with primary practice located at 1400 Jackson St , Denver CO 80206-2761. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Sederberg, Jennifer Renee can be contacted via phone (303) 388-4461.

Contact Information

Primary practice address
1400 Jackson St Denver CO 80206-2761
Phone: (303) 388-4461
Fax: (303) 398-1211
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X APN.0991749-NP Colorado
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X APN.0991749-NP Colorado

Profile Details

NPI number 1134507106
LBN Legal business name Sederberg, Jennifer Renee
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2015
Last updated Mar 17th, 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 1134507106 NPPES
Colorado Other APN.0991749-NP APN LICENSE
Colorado MEDICAID 02750058 APN LICENSE
Colorado Other 438668YLSH APN LICENSE
Colorado Other RN.0179429 APN LICENSE
Colorado MEDICAID 1134507106 APN LICENSE

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