Healthcare Provider Details

I. General information

NPI: 1164369344
Provider Name (Legal Business Name): JOCELYN LILIA CORDOVA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/04/2026
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3333 REGIS BLVD
DENVER CO
80221-1099
US

IV. Provider business mailing address

3333 REGIS BLVD
DENVER CO
80221-1099
US

V. Phone/Fax

Practice location:
  • Phone: 303-803-2329
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number1696687
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: