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JACQUELINE E BORTNER, CRNP – NPI #1346234366
Family

NPI Profile for JACQUELINE E BORTNER in COLORADO SPRINGS, CO.

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Contact Information

JACQUELINE E BORTNER, CRNP
1400 E BOULDER ST STE 600
COLORADO SPRINGS, CO  80909-5533
 Phone: 719-364-8346
 Fax: 719-364-8347
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Family

 363LF0000X 50 Nurse Practitioner
 

Nurse Practitioner

 363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for JACQUELINE E BORTNER · (Female)

NPI # 1346234366
Status Active
Credentials CRNP (Certified Registered Nurse Practitioner)
Entity Individual
Enumeration date 09/06/2005
Last updated 04/04/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • CO License # APN.0990986-NP
  • PA License # UP005248B
  • CO Medicaid 07627262
  • MD Other 686550 CAREFIRST MD BCBS
  • PA Other 342796 HIGHMARK BLUE SHIELD
  • PA Other 225103 JOHNS HOPKINS
Hospital affiliation(s)
  • CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES - (Acute Care)
    2222 N NEVADA AVE
    COLORADO SPRINGS, CO 80907
  • MEMORIAL HOSPITAL CENTRAL - (Acute Care)
    1400 E BOULDER ST
    COLORADO SPRINGS, CO 80909
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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