JODI LAUREN FLEISHMAN AGACNP-BC
NPI 1417764135
Nurse Practitioner in Boulder, CO

Active since December 16, 2024
650 S 40TH ST, BOULDER, CO 80305(970) 390-5537 Get Directions Write a Review

NPPES record last updated: December 16, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jodi Lauren Fleishman Agacnp-bc NPPES

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

JODI LAUREN FLEISHMAN AGACNP-BC (NPI 1417764135) is an individual nurse practitioner in Boulder, Colorado, licensed in Colorado (1000188) and active in the NPI registry since December 2024.

NPPES Registry Identity

NPI1417764135
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameJODI LAUREN FLEISHMANCredential: AGACNP-BC
Location Address650 S 40TH STBoulder, CO 80305-5905
Mailing Address650 S 40th StBoulder, CO 80305-5905 · (970) 390-5537
Sole ProprietorYes
Enumeration DateDecember 16, 2024
NPPES CertifiedDecember 16, 2024
NPI 1417764135 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in CO · 1000188
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

650 S 40TH ST, Boulder, CO 80305

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1417764135, enumerated as an "individual" on December 16, 2024.

The provider is located at 650 S 40TH ST BOULDER, CO 80305 and the phone number is (970) 390-5537.

Nurse Practitioner with taxonomy code 363L00000X.