Provider Demographics
NPI:1275923633
Name:ANDRADE, JENNIFER LYNN (DC)
Entity type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:LYNN
Last Name:ANDRADE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5400 WARD RD.
Mailing Address - Street 2:BLDG V, STE 105
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80002-1819
Mailing Address - Country:US
Mailing Address - Phone:720-688-6372
Mailing Address - Fax:720-815-2569
Practice Address - Street 1:5400 WARD RD.
Practice Address - Street 2:BLDG V, STE 105
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80002-1819
Practice Address - Country:US
Practice Address - Phone:720-688-6372
Practice Address - Fax:720-815-2569
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-23
Last Update Date:2025-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCHR.0007211111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor