Whalio Doctors

NPI 1154966174

Jessica Dacic

Practitioner Advanced Practice Midwife Boulder, CO

Practice location

Address
4840 Riverbend Rd STE 100, Boulder, CO 80301-2633
Phone
(303) 415-4045
Fax
(303) 415-4046
Mailing address
PO Box 9049, Boulder, CO 80301-9049

Registered specialties (2)

Advanced Practice Midwife Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367A00000X Licence APN-0995233-CNM (CO)
Registered Nurse
Nursing Service Providers Taxonomy 163W00000X Licence RN.1618824 (CO)

Registry record

NPI
1154966174
Entity type
Individual
Sex (as registered)
Female
NPI issued
13 Nov 2019
Record last updated
22 Mar 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.