Mrs. Jennice M Cordova, PA-C
Mrs. Jennice M Cordova, PA-C is a Medical Physician Assistant in Middleton, Idaho. Licensed in Idaho. Registered with an NPI since 2006.
- Licensed in
- ID
- In the registry since
- 2006
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
201 S 1st Ave EMiddleton, ID 83644-5809
Phone: (208) 585-6311
Fax: (208) 585-6221
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Medical Physician Assistant (primary) | Taxonomy 363AM0700X · Licence PA-281 (ID) |
|---|
Record details
| NPI number | 1609856079 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PA-C |
| Sole proprietor | No |
| NPI enumerated | January 20, 2006 |
| Last updated in NPPES | February 12, 2008 |