Individual
JENNIFER DRURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
12605 E 16TH AVE, AURORA, CO 80045-2545
(720) 848-0000
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
013690
NY
363A00000X
Physician Assistant
Primary
PA.0006040
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00590396
—
NY
01
—
331822
MEDICARE
NY
Enumeration date
12/30/2009
Last updated
12/16/2021
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