Healthcare Provider Details

I. General information

NPI: 1396026225
Provider Name (Legal Business Name): JESSIE BURR HOCKETT PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/06/2011
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7780 S BROADWAY STE 150
LITTLETON CO
80122-2641
US

IV. Provider business mailing address

7780 S BROADWAY STE 150
LITTLETON CO
80122-2641
US

V. Phone/Fax

Practice location:
  • Phone: 303-347-9897
  • Fax: 303-347-9912
Mailing address:
  • Phone: 303-347-9897
  • Fax: 303-347-9912

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA13229
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA.0003335
License Number StateCO
# 3
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA100991
License Number StateMA
# 4
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA60595611
License Number StateWA
# 5
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number0010-14950
License Number StateNC
# 6
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number10646
License Number StateAZ
# 7
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number12651
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: