Provider Demographics
NPI:1063239002
Name:LOWREY, JASON (RN, BSN)
Entity type:Individual
Prefix:MR
First Name:JASON
Middle Name:
Last Name:LOWREY
Suffix:
Gender:M
Credentials:RN, BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5185 S DOVER ST
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80123-2103
Mailing Address - Country:US
Mailing Address - Phone:303-999-7267
Mailing Address - Fax:
Practice Address - Street 1:5185 S DOVER ST
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80123-2103
Practice Address - Country:US
Practice Address - Phone:303-999-7267
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-23
Last Update Date:2024-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0195876163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse