MEDICARE: MS. JOCELYN CAVENDER P.A.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	2689	CO

General Provider Information

NPI Number	:	1558507087
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JOCELYN CAVENDER P.A.

Provider Business Mailing Address
First Line	:	753 MALETA LN STE 101G
Second Line	:
City	:	CASTLE ROCK
State	:	CO
Zip	:	80108-7605
Country	:	US
Telephone Number	:	970-624-2403
Fax Number	:	720-538-3001

Provider Business Practice Location Address
First Line	:	753 MALETA LN STE 101G
Second Line	:
City	:	CASTLE ROCK
State	:	CO
Zip	:	80108-7605
Country	:	US
Telephone Number	:	720-770-3919
Fax Number	:	720-538-3001

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/06/2009
Last Update Date	:	07/15/2025

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