SearchColorado163W00000X

Jena Sullenberger, RN

NPI 1841166808 · on the registry since 2025 · sole proprietor

Practice

Address
559 Vincent St.
Space Base Delta 1
Peterson Space Force Base, CO 80914
Phone
(719) 556-9858
Clinicians at this address
13

Registry record

Primary taxonomy
163W00000X
163W00000X
Licence states on file
CO
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-10-15

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