Individual provider · Type 1 NPI

Jennica E. N. Cornine, PA

Medical Physician Assistant · Aurora, CO

NPI number 1962692871 Active

Practice location

13123 E 16th Ave
Aurora, CO 80045-7106

Mailing address

PO Box 110429
Aurora, CO 80042-0429

Other practice locations

  • 777 Hemlock St, Macon, GA 31201-2102 · (478) 633-1000

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X005080 (GA)
Medical Physician Assistant Primary 363AM0700XMSPA.0000013 (CO)

Medical Physician Assistant: Definition to come...

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About NPI 1962692871

Jennica E. N. Cornine, PA's National Provider Identifier is 1962692871, issued on Jul 26, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Aurora, CO. The record was last updated on Dec 20, 2024.