Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JONATHAN LANE SHEPARD, PA-C
ActiveJONATHAN LANE SHEPARD, PA-C is a Physician Assistant healthcare provider located in CORTEZ, Colorado. NPI 1205174174 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · CORTEZ, CO
Registration Details
- NPI Number
- 1205174174
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 28, 2013 (13.507261375131 yrs)
- Last Updated
- Nov 5, 2024
- License
-
PA.0004608 (CO)
Practice Information
- Address
-
1413 N MILDRED RDCORTEZ, CO, 813212258Browse CO providers · Browse ZIP 81321
- Phone
- 9705641037
- Fax
- 9705641041
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in CORTEZ, CO
| Name | Credential | NPI |
|---|---|---|
| MARK JAMES FOSTER | PA | 1639168479 |
| LEANNE IRENE BUCK | PA C | 1407832116 |
| ANDREW HENRICHS | PA-C, ATC | 1922037381 |
| KAY CHRISTIAN | PAC | 1558435222 |
| MR. CHRISTOPHER JAMES BATEMAN | — | 1598935025 |
| MR. ERICK IRELAND | PA-C | 1750825964 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.