Individual provider · Type 1 NPI

Jessie P. Ibave, PA

Surgical Physician Assistant · Aurora, CO

NPI number 1255804910 Active

Practice location

1635 Aurora Ct
Aurora, CO 80045-2541

Mailing address

PO Box 110429
Aurora, CO 80042-0429

Other practice locations

  • 12605 E 16th Ave, Aurora, CO 80045-2545 · (720) 848-0000

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X6133 (CO)

Surgical Physician Assistant: Definition to come...

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About NPI 1255804910

Jessie P. Ibave, PA's National Provider Identifier is 1255804910, issued on Jan 5, 2019. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Aurora, CO. The record was last updated on Mar 4, 2025.