Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. JENNICE M CORDOVA, PA-C
ActiveMRS. JENNICE M CORDOVA, PA-C is a Medical Physician Assistant healthcare provider located in MIDDLETON, Idaho. NPI 1609856079 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · MIDDLETON, ID
Registration Details
- NPI Number
- 1609856079
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 20, 2006 (20.601141030147 yrs)
- Last Updated
- Feb 12, 2008
- License
-
PA-281 (ID)
Practice Information
- Address
-
201 S 1ST AVE EMIDDLETON, ID, 836445809Browse ID providers · Browse ZIP 83644
- Phone
- 2085856311
- Fax
- 2085856221
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
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.