Individual provider · Type 1 NPI

Jessica M. Suprise, PA-C

Surgical Physician Assistant · Aurora, CO

NPI number 1447662929 Active

Practice location

12605 E 16th Ave
Aurora, CO 80045-2545

Call (720) 848-0000 Map

Mailing address

PO Box 110429
Aurora, CO 80042-0429

Other practice locations

  • 3432 W 33rd Ave, Denver, CO 80211-3108 · (920) 312-4596

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300X1000-39 (WI)
Physician Assistant 363A00000X4559 (WI)
Surgical Physician Assistant Primary 363AS0400XPA.0006023 (CO)

Surgical Physician Assistant: Definition to come...

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About NPI 1447662929

Jessica M. Suprise, PA-C's National Provider Identifier is 1447662929, issued on Jun 2, 2014. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Aurora, CO. The record was last updated on Feb 19, 2020.