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NPI Code Detail

MEDICARE: MRS. JENNIFER LYNN FLORES PA C

MEDICARE:  MRS. JENNIFER LYNN FLORES  PA C
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
1363A00000XPhysician AssistantPA0002291CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1700091584
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JENNIFER LYNN FLORES PA C
Provider Business Mailing Address
First Line : 2200 E 104TH AVE STE 115
Second Line :
City : THORNTON
State : CO
Zip : 80233-4402
Country : US
Telephone Number : 303-452-2766
Fax Number : 303-252-8694
Provider Business Practice Location Address
First Line : 5996 E 64TH AVE
Second Line :
City : COMMERCE CITY
State : CO
Zip : 80022-3317
Country : US
Telephone Number : 720-463-6758
Fax Number : 720-640-3314
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/14/2007
Last Update Date : 10/06/2025

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Directions to “ MRS. JENNIFER LYNN FLORES PA C” Practice Location

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