Jena Sullenberger, RN is a
Registered Nurse based in Peterson Space Force Base, Colorado. Jena Sullenberger is licensed to practice in Colorado (license number 1636091) and her current practice location is
559 Vincent St., Space Base Delta 1, Peterson Space Force Base, Colorado. She can be reached at her office (for appointments etc.) via phone at
(719) 556-9858.
NPI number for Jena Sullenberger is 1841166808 and her current mailing address is 559 Vincent St., Space Base Delta 1, Peterson Space Force Base, Colorado. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1841166808.
Provider's Profile
| Full Name | Jena Sullenberger |
|---|
| Gender | Female |
|---|
| Speciality | Registered Nurse |
|---|
| Location | 559 Vincent St., Peterson Space Force Base, Colorado |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1841166808
- Provider Enumeration Date: 10/15/2025
- Last Update Date: 10/15/2025
Medical Identifiers
Medical identifiers for Jena Sullenberger such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1841166808 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 163W00000X | Registered Nurse | 1636091 (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. Jena Sullenberger 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 Address | Practice Location Address |
Jena Sullenberger, RN 559 Vincent St., Space Base Delta 1, Peterson Space Force Base, CO 80914 Ph: () - | Jena Sullenberger, RN 559 Vincent St., Space Base Delta 1, Peterson Space Force Base, CO 80914 Ph: (719) 556-9858 |
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