Individual
JENNA ELIZABETH BOOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
15464 E ORCHARD RD, CENTENNIAL, CO 80016-3005
(303) 680-5437
(303) 680-5439
Mailing address
8401 S CHAMBERS RD, GREENWOOD VILLAGE, CO 80112-3276
(303) 373-2008
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0008968
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
CO
Other
Enumeration date
05/15/2023
Last updated
01/20/2025
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