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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JACOB DANIEL SHIRLEY, PA

Active

JACOB DANIEL SHIRLEY, PA is a Physician Assistant healthcare provider located in LONGMONT, Colorado. NPI 1992463970 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · LONGMONT, CO

Registration Details

NPI Number
1992463970
Provider Type
Individual
Gender
Male
NPI Issued
Dec 7, 2021 (4.6818805745159 yrs)
Last Updated
Jul 23, 2025
Licenses
PA1128 (WY)
PA-2185 (ID)
0009178 (CO)

Practice Information

Address
1925 MOUNTAIN VIEW AVE FL 3
LONGMONT, CO, 805013128
Browse CO providers · Browse ZIP 80501
Phone
7207188240
Fax
7207180953
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in LONGMONT, CO

Name Credential NPI
MR. RYAN J RITCHHART PA-C 1053314310
MS. SHARON R KLOEPFER PA 1114924263
MS. KARI L SCHOENWALD PA 1962400705
MRS. MELINDA L SHARKEY PA 1578547329
ELIZABETH TRACY MORAN P.A. 1174508279
MATTHEW A SCHNEIDER P.A. 1568447282
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.