Individual
JESSICA WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
100 HEALTH PARK DR, LOUISVILLE, CO 80027-9583
(303) 673-1000
Mailing address
2297 BRISTOL ST, SUPERIOR, CO 80027-8274
(203) 535-5307
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2752
CT
363A00000X
Physician Assistant
Primary
9250
CO
Other
Enumeration date
11/07/2010
Last updated
05/22/2026
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