Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JENNIFER MICHELLE DIVINE, MD
Active Sole ProprietorJENNIFER MICHELLE DIVINE, MD is a Obesity Medicine healthcare provider located in FORT COLLINS, Colorado. NPI 1063779072 is currently active in the NPPES registry. Verify at CMS.
Obesity Medicine · FORT COLLINS, CO
Registration Details
- NPI Number
- 1063779072
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 15, 2012 (14.359029711286 yrs)
- Last Updated
- Jul 19, 2024
- Licenses
-
ME 131766 (FL)DR.0058205 (CO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1260 DOCTOR'S LANEFORT COLLINS, CO, 80524Browse CO providers · Browse ZIP 80524
- Phone
- 9702862668
- Fax
- 9702944954
- Primary Specialty
-
Obesity Medicine
207ND0101X
- Additional Specialty
- Obesity Medicine
Other Obesity Medicine Providers in FORT COLLINS, CO
| Name | Credential | NPI |
|---|---|---|
| JOSEPH LEE WILDE | M.D. | 1972521581 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.