Individual
MRS. ERIN COLLEEN JACOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5555 E ARAPAHOE RD, CENTENNIAL, CO 80122-2312
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1447
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
023657
KAISER COMMERCIAL NUMBER
CO
05
—
42528585
—
CO
Enumeration date
09/14/2009
Last updated
06/22/2021
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