Provider Demographics
NPI:1487528741
Name:GRAY, JAZMYN RAE (CPFS)
Entity type:Individual
Prefix:MISS
First Name:JAZMYN
Middle Name:RAE
Last Name:GRAY
Suffix:
Gender:F
Credentials:CPFS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18954 E 57TH PL UNIT A
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80249-6794
Mailing Address - Country:US
Mailing Address - Phone:303-999-5196
Mailing Address - Fax:
Practice Address - Street 1:3050 RICHARD ALLEN CT
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80205-4965
Practice Address - Country:US
Practice Address - Phone:720-724-9544
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-30
Last Update Date:2025-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCPFS-2107175T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist