Individual
MS. DANA RAE JESSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
859 S 4TH AVE, BRIGHTON, CO 80601-3543
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1207
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11639873
—
CO
01
—
22405
KAISER COMMERCIAL NUMBER
CO
Enumeration date
06/16/2005
Last updated
05/14/2021
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