person
Mrs. Jennice M Cordova, PA-C
Medical Physician Assistant in Middleton, Idaho
NPI 1609856079

Jennice M Cordova is a Medical Physician Assistant based in Meridian, ID and is specialized in Medical. Jennice M Cordova practices in Middleton, ID and has the professional credentials of PA-C. The NPI Number for Jennice M Cordova is 1609856079 and holds a License No. PA-281 (Idaho).

The current practice location address for Jennice M Cordova is 201 S 1St Ave E, Middleton, ID and can be reached out via phone at 208-585-6311 and via fax at 208-585-6221. You can also correspond with Jennice M Cordova through the mailing address at 2165 ASPEN COVE DR, MERIDIAN, ID - 83642-6517 (mailing address contact number: 208-288-2548).

Location: 201 S 1St Ave E, Middleton, ID, 83642-6517
person
Provider Profile Details
NPI Number
1609856079
Provider Name
Jennice M Cordova
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
201 S 1St Ave E, Middleton, ID, 83642-6517
Phone Number
208-585-6311
Fax Number
208-585-6221
Provider Enumeration Date
01/20/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
201 S 1St Ave E
City
State
Zip
83644-5809
Phone Number
208-585-6311
Fax Number
208-585-6221
person
Provider Business Mailing Address Details
Address
201 S 1St Ave E
City
State
Zip
83644-5809
Phone Number
208-585-6311
Fax Number
208-585-6221
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA-281 (Idaho)
Definition
Definition to come...
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