Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jacqueline L House, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1922429901

Jacqueline L House, PHYSICIANASSISTANT is a Physician Assistant in Fort Collins, Colorado. Practices as a sole proprietor. Registered with an NPI since 2013.

In the registry since
2013
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Practice location Address checks out

3519 Richmond Dr
Fort Collins, CO 80526-5995
Phone: (970) 204-0300
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Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1922429901
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICIANASSISTANT
Sole proprietorYes
NPI enumeratedDecember 18, 2013
Last updated in NPPESJanuary 13, 2020
Certification dateJanuary 13, 2020

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