Tatgenhorst, Jenna
Tatgenhorst, Jenna is an individual health care provider with primary practice located at 350 Indiana St Ste 250 , Golden CO 80401-5074. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Tatgenhorst, Jenna can be contacted via phone (720) 898-9427.Contact Information
Primary practice address
350 Indiana St Ste 250
Golden CO 80401-5074
Phone: (720) 898-9427
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA.0006736 | Colorado |
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | PA.0006736 | Colorado |
Profile Details
| NPI number | 1417363763 |
|---|---|
| LBN Legal business name | Tatgenhorst, Jenna |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 8th, 2014 |
| Last updated | Mar 5th, 2025 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417363763 | NPPES |
| Colorado | MEDICAID | 9000198401 |
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