Provider Demographics
NPI:1982473583
Name:KUHN, JESSIE (PMHNP)
Entity type:Individual
Prefix:
First Name:JESSIE
Middle Name:
Last Name:KUHN
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2130 S ACADEMY BLVD STE 102
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80916-2472
Mailing Address - Country:US
Mailing Address - Phone:719-755-8420
Mailing Address - Fax:
Practice Address - Street 1:2130 S ACADEMY BLVD STE 102
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80916-2472
Practice Address - Country:US
Practice Address - Phone:719-755-8420
Practice Address - Fax:719-431-6328
Is Sole Proprietor?:No
Enumeration Date:2023-12-22
Last Update Date:2025-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CORN.1664252163W00000X
COAPN.0999500-NP363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse