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

Jieneve Marie Cordova, PA

Individual provider Family Medicine Physician · NPI 1245124445

Jieneve Marie Cordova, PA is a Physician Assistant in Orem, Utah. Qualified in 2025, 1 year ago. Practices with Foothill Clinic LLC, a 43-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
1
Licensed in
UT
In the registry since
2025
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

70 E 1430 N
Orem, UT 84057-2700
Phone: (435) 513-0356
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 9717191-1206 (UT)

Record details

NPI number1245124445
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorYes
NPI enumeratedJune 4, 2025
Last updated in NPPESDecember 17, 2025
Certification dateDecember 17, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Foothill Clinic Llc — 43 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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