SearchColorado122300000X

Jessica Gong

NPI 1285257279 · on the registry since 2020

Practice

Address
4410 Arapahoe Ave Ste 230
Boulder, CO 80303
Phone
(303) 442-4555
Organisation at this address
Daniel Lebowitz, M.A.
Essential Nutrition Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
19

Additional practice sites

  • 1775 Grand Concourse Fl 6, Bronx, NY
  • 3960 River Point Pkwy Unit A, Sheridan, CO

Registry record

Primary taxonomy
122300000X
122300000X
Also registered as
390200000X
Licence states on file
CO
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-07-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Colorado