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NPI Code Detail

MEDICARE: MS. JESSICA EVE PRICE PA-C

MEDICARE:  MS. JESSICA EVE PRICE  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
1363AM0700XMedical Physician Assistant1398CO

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1970019902OTHERCORAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1992754626
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JESSICA EVE PRICE PA-C
Provider Business Mailing Address
First Line : 3071 REDSTONE LN
Second Line :
City : BOULDER
State : CO
Zip : 80305-7168
Country : US
Telephone Number : 303-810-4376
Fax Number :
Provider Business Practice Location Address
First Line : 8300 W 38TH AVE
Second Line : EXEMPLA LUTHERAN MEDICAL CENTER-EMERGENCY DEPT
City : WHEAT RIDGE
State : CO
Zip : 80033-6005
Country : US
Telephone Number : 303-425-2089
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/09/2006
Last Update Date : 03/12/2026

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Directions to “ MS. JESSICA EVE PRICE PA-C” Practice Location

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