Jennifer Michelle Divine, MD
Jennifer Michelle Divine, MD is a Dermatology in Fort Collins, Colorado. Graduated from University of South Florida College of Medicine in 2012, 14 years ago. Practices with Divine Dermatology and Surgical Institute PLLC, a 5-clinician group and accepts Medicare assignment. Licensed in Colorado and Florida.
- Years since qualifying
- 14
- Trained at
- University of South Florida College of Medicine
- Licensed in
- CO, FL
- In the registry since
- 2012
- Specialties on file
- 2
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
1260 Doctor's LnFort Collins, CO 80524
Phone: (970) 286-2668
Fax: (970) 294-4954
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| MOHS-Micrographic Surgery Physician (primary) | Taxonomy 207ND0101X · Licence DR.0058205 (CO) |
|---|---|
| MOHS-Micrographic Surgery Physician | Taxonomy 207ND0101X · Licence ME 131766 (FL) |
Record details
| NPI number | 1063779072 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MD |
| Sole proprietor | Yes |
| NPI enumerated | April 15, 2012 |
| Last updated in NPPES | July 19, 2024 |
| Certification date | July 19, 2024 |
Medicare enrollment
| Medicare specialty | DERMATOLOGY |
|---|---|
| Also practises | MICROGRAPHIC DERMATOLOGIC SURGERY (MDS) |
| Medical school | UNIVERSITY OF SOUTH FLORIDA COLLEGE OF MEDICINE |
| Graduated | 2012 (14 years in practice) |
| Group practice | Divine Dermatology And Surgical Institute Pllc — 5 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Fort Collins
-
Dr. Andrew H Kalajian, MD
1100 Poudre River Dr, Fort Collins, CO 80524-3557 · (970) 484-3050