Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. JILL BAYOUTH
Active136A00000X · LONGMONT, CO
Registration Details
- NPI Number
- 1992180939
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 20, 2015 (10.756919248226 yrs)
- Last Updated
- Aug 26, 2015
- Licenses
-
1072108 (CO)21420304 (CO)
Practice Information
- Address
-
1925 MOUNTAIN VIEW AVELONGMONT, CO, 805013128Browse CO providers · Browse ZIP 80501
- Phone
- 3037761234
- Fax
- 7204943107
- Primary Specialty
-
136A00000X
136A00000X
- Additional Specialty
- 136A00000X
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.