Jaci Kayla Corliss, LPN, CNA - Licensed Practical Nurse in Fort Collins, CO

Jaci Kayla Corliss, LPN, CNA is a Licensed Practical Nurse based in Fort Collins, Colorado. Jaci Kayla Corliss is licensed to practice in Colorado (license number PN.0335643) and her current practice location is 700 Centre Ave, Fort Collins, Colorado. She can be reached at her office (for appointments etc.) via phone at (970) 494-4200.

NPI number for Jaci Kayla Corliss is 1154970937 and her current mailing address is 4856 Innovation Dr Ste B, Fort Collins, Colorado. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1154970937.

Contact Information

Jaci Kayla Corliss, LPN, CNA
700 Centre Ave,
Fort Collins, CO 80526-2023
(970) 494-4200
Not Available



Provider's Profile

Full NameJaci Kayla Corliss
GenderFemale
SpecialityLicensed Practical Nurse
Location700 Centre Ave, Fort Collins, Colorado
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1154970937
  • Provider Enumeration Date: 09/05/2019
  • Last Update Date: 09/05/2019

Medical Identifiers

Medical identifiers for Jaci Kayla Corliss such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154970937NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
164W00000XLicensed Practical Nurse PN.0335643 (Colorado)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jaci Kayla Corliss is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jaci Kayla Corliss, LPN, CNA
4856 Innovation Dr Ste B,
Fort Collins, CO 80525-5540

Ph: (970) 494-4200
Jaci Kayla Corliss, LPN, CNA
700 Centre Ave,
Fort Collins, CO 80526-2023

Ph: (970) 494-4200

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› Verified 4 days ago


Licensed Practical Nurse Nurses in Fort Collins, CO

James Norick,
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 4856 Innovation Dr Ste B, Fort Collins, CO 80525
Phone: 970-494-4200    Fax: 970-613-4475
Liza Marcelo,
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: Colorado State University, Hartshorn Health Service, Fort Collins, CO 80523
Phone: 970-491-6548    Fax: 970-491-0268
Valeri Hauser, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 700 Centre Ave, Fort Collins, CO 80526
Phone: 970-494-4200    
Helen Adele Becker-tensley, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: Hartshorn Health Services Csu Campus, Fort Collins, CO 80523
Phone: 970-491-1754    
Deb Agnes Wagner,
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 1008 Patton Street, Fort Collins, CO 80525
Phone: 970-494-4200    
Elizabeth Glenn Magoto, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 4856 Innovation Dr Ste B, Fort Collins, CO 80525
Phone: 970-494-4200    

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