Provider Demographics
NPI:1225231384
Name:PLANNED PARENHOOD OF THE ROCKY MOUNTAIN
Entity type:Organization
Organization Name:PLANNED PARENHOOD OF THE ROCKY MOUNTAIN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:MS
Authorized Official - First Name:JODY
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:JAFFE
Authorized Official - Suffix:
Authorized Official - Credentials:CNM
Authorized Official - Phone:303-750-7128
Mailing Address - Street 1:1221 S ALTON CT
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80247-2321
Mailing Address - Country:US
Mailing Address - Phone:303-750-7128
Mailing Address - Fax:303-750-7125
Practice Address - Street 1:1221 S ALTON CT
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80247-2321
Practice Address - Country:US
Practice Address - Phone:303-750-7128
Practice Address - Fax:303-750-7125
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-07
Last Update Date:2007-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO69860261QF0050X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0050XAmbulatory Health Care FacilitiesClinic/CenterFamily Planning, Non-Surgical