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JILLIAN CHURCH RN
NPI 1104765643
Registered Nurse in Fort Collins, CO

Active since March 27, 2026
4856 INNOVATION DR STE B, FORT COLLINS, CO 80525(970) 494-4200 Get Directions Write a Review

NPPES record last updated: March 27, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jillian Church Rn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JILLIAN CHURCH RN (NPI 1104765643) is an individual registered nurse in Fort Collins, Colorado, licensed in Kentucky (1177512) and active in the NPI registry since March 2026.

NPPES Registry Identity

NPI1104765643
Entity TypeIndividualFemale
Primary Taxonomy163W00000X
Provider Legal NameJILLIAN CHURCHCredential: RN
Location Address4856 INNOVATION DR STE BFort Collins, CO 80525-5540
Mailing Address943 Baxter Ave Unit 102Louisville, KY 40204-2096
Phone(970) 494-4200
Sole ProprietorNo
Enumeration DateMarch 27, 2026
NPPES CertifiedMarch 27, 2026
✔ NPI 1104765643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered NurseNursing Service Providers
Taxonomy Code163W00000X
License✔ Licensed in KY · 1177512
Definition
(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.
4856 INNOVATION DR STE B, Fort Collins, CO 80525
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROSE MARTINEZ
Social Worker (Clinical)
4856 INNOVATION DR STE B
FORT COLLINS, CO 80525
Larimer County (970) 494-4200
LEAH GUERRERO
Counselor (Addiction (Substance Use Disorder))
4856 INNOVATION DR STE B
FORT COLLINS, CO 80525
Larimer County (970) 494-4200
SARAH HURD
Peer Specialist
4856 INNOVATION DR STE B
FORT COLLINS, CO 80525
Larimer County (970) 494-4200
YOKO IRWIN
Nurse's Aide
4856 INNOVATION DR STE B
FORT COLLINS, CO 80525
Larimer County (970) 494-4200
SYDNEY CAMPBELL
Case Manager/Care Coordinator
4856 INNOVATION DR STE B
FORT COLLINS, CO 80525
Larimer County (970) 494-4200
MAYA JAYACHANDRA
Case Manager/Care Coordinator
4856 INNOVATION DR STE B
FORT COLLINS, CO 80525
Larimer County (970) 494-4200
MICHELLE RAEL
Counselor (Mental Health)
4856 INNOVATION DR STE B
FORT COLLINS, CO 80525
Larimer County (970) 494-4200
DR. KATHLEEN P WHITLEY M.D.
Psychiatry & Neurology (Psychiatry)
4856 INNOVATION DR STE B
FORT COLLINS, CO 80525
Larimer County (970) 494-4200

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jillian Church's NPI number?

The NPI number for Jillian Church is 1104765643. It was assigned to this individual provider in the NPPES registry on March 27, 2026.

Where is Jillian Church located?

Jillian Church practices at 4856 Innovation Dr Ste B, Fort Collins, CO 80525. The listed phone number is (970) 494-4200.

What is Jillian Church's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

When was this NPI record last updated?

The NPPES record for Jillian Church was last updated on March 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.