Healthcare Provider Details

I. General information

NPI: 1578170296
Provider Name (Legal Business Name): JOCELYN KORPAL FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/27/2020
Last Update Date: 07/11/2026
Certification Date: 07/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3401 QUEBEC ST
DENVER CO
80207-2322
US

IV. Provider business mailing address

1820 S STATE HIGHWAY 83
FRANKTOWN CO
80116-8607
US

V. Phone/Fax

Practice location:
  • Phone: 303-879-1700
  • Fax:
Mailing address:
  • Phone: 574-607-7114
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0997772
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number71010521A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: