Individual
JESSICA SORENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
206 W COUNTY LINE RD STE 340, HIGHLANDS RANCH, CO 80129-2321
(303) 888-6426
Mailing address
206 W COUNTY LINE RD STE 340, HIGHLANDS RANCH, CO 80129-2321
(303) 888-6426
(303) 302-1659
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
2638
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
72276738
—
CO
Enumeration date
08/13/2008
Last updated
03/15/2019
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