Basic Information
| Provider Information | |||||||||
| NPI: | 1235692492 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BENSON-FEERO | ||||||||
| FirstName: | JENNIFER | ||||||||
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| Credential: | FNP-BC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1805 SHEA CENTER DR STE 301 | ||||||||
| Address2: | |||||||||
| City: | HIGHLANDS RANCH | ||||||||
| State: | CO | ||||||||
| PostalCode: | 801292277 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7204939006 | ||||||||
| FaxNumber: | 7202427520 | ||||||||
| Practice Location | |||||||||
| Address1: | 9218 KIMMER DR STE 207 | ||||||||
| Address2: | |||||||||
| City: | LONE TREE | ||||||||
| State: | CO | ||||||||
| PostalCode: | 801246733 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7204939006 | ||||||||
| FaxNumber: | 7202427520 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/12/2019 | ||||||||
| LastUpdateDate: | 03/25/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 03/25/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LF0000X | APN.0994640-NP | CO | Y | 193400000X SINGLE SPECIALTY GROUP | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No ID Information.