Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jessica Jack

Individual provider Pediatrics Physician · NPI 1942627153

Jessica Jack is a Pediatrics Physician in Denver, Colorado. Licensed in Colorado. Registered with an NPI since 2014.

Licensed in
CO
In the registry since
2014

Practice location Address checks out

777 Bannock St
Denver, CO 80204-4507
Phone: (570) 236-8621
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence DR.0058290 (CO)

Record details

NPI number1942627153
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 25, 2014
Last updated in NPPESMay 9, 2024
Certification dateMarch 2, 2021

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