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Search › Colorado › 2085R0001X

Supriya Jain, M.D

NPI 1639597529 · on the registry since 2014

Practice

Address
4700 Lady Moon Dr
Fort Collins, CO 80528
Phone
(970) 810-3894
Organisation at this address
Banner Health
Banner Health
Noco Newco, Llc
Vvmc Diversified Services
Banner Fort Collins Medical Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
15

Additional practice sites

  • 1801 16th St, Greeley, CO
  • 2000 Boise Ave, Loveland, CO

Registry record

Primary taxonomy
2085R0001X
2085R0001X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-07-08

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