Jamie Nicole Aragon-Flemming

Individual provider Active NPI Contractor · Grand Junction, CO

NPI 1508337429 · NPPES record last updated Dec 17, 2018

Key facts

NPI
1508337429
Entity type
Individual (NPI type 1)
Primary specialty
Contractor 171W00000X
License
062131289 (CO)
Practice address
741 W Wilshire CT
Grand Junction, CO 81506-1826
Phone
(970) 245-1716
NPI assigned
Dec 17, 2018
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
062131289COMDContractor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X 062131289 CO Yes

Addresses

Primary practice location

741 W Wilshire CT
Grand Junction, CO 81506-1826

Mailing address

PO Box 3344
Grand Junction, CO 81502-3344
Phone (970) 234-6177

Other identifiers

IdentifierTypeStateIssuer
83-2847076OtherCOHOMEMAKER

Other providers in Grand Junction, CO

All providers in Grand Junction, CO · Contractor in Colorado

Sources for this page

Verify at the official NPI Registry.