Vanwinkle, Jennifer L.

Vanwinkle, Jennifer L. is an sole proprietor health care provider with primary practice located at 1538 W Camino De Los Ranchos , Pueblo West CO 81007-2040. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Vanwinkle, Jennifer L. can be contacted via phone (719) 359-6257.

Contact Information

Primary practice address
1538 W Camino De Los Ranchos Pueblo West CO 81007-2040
Phone: (719) 359-6257
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 990344 Colorado
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 990344 Colorado

Profile Details

NPI number 1053685081
LBN Legal business name Vanwinkle, Jennifer L.
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 8th, 2012
Last updated Jun 13th, 2023 - about 3 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 1053685081 NPPES
Colorado Other 259444ZL1P MEDICARE ID
Colorado MEDICAID 76720063 MEDICARE ID

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