Provider Demographics
NPI:1285762864
Name:SHELL, JENNY LANKFORD (BA)
Entity type:Individual
Prefix:MISS
First Name:JENNY
Middle Name:LANKFORD
Last Name:SHELL
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:731 W 123RD AVE UNIT 2208
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CO
Mailing Address - Zip Code:80234-1871
Mailing Address - Country:US
Mailing Address - Phone:303-870-2021
Mailing Address - Fax:303-894-8107
Practice Address - Street 1:1634 DOWNING ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80218-1529
Practice Address - Country:US
Practice Address - Phone:303-504-1820
Practice Address - Fax:303-894-8107
Is Sole Proprietor?:No
Enumeration Date:2007-03-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator