Individual provider · Type 1 NPI

Jaclyn Elise Tybor, PA-C

Medical Physician Assistant · Lakewood, CO

NPI number 1467838664 Active

Practice location

165 S Union Blvd Ste 800
Lakewood, CO 80228-2213

Call (303) 988-2680 Map

Mailing address

PO Box 35380
Las Vegas, NV 89133-5380

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA.0004315 (CO)

Medical Physician Assistant: Definition to come...

9 other providers at this address

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About NPI 1467838664

Jaclyn Elise Tybor, PA-C's National Provider Identifier is 1467838664, issued on Aug 11, 2015. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Lakewood, CO. The record was last updated on Sep 24, 2026.