Provider Demographics
NPI:1063520948
Name:BURROWS, JESSICA VERA (PA-C)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:VERA
Last Name:BURROWS
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:450 MEADOW WOOD CIR
Mailing Address - Street 2:
Mailing Address - City:DILLON
Mailing Address - State:CO
Mailing Address - Zip Code:80435-8485
Mailing Address - Country:US
Mailing Address - Phone:240-463-7719
Mailing Address - Fax:970-479-5835
Practice Address - Street 1:450 MEADOW WOOD CIR
Practice Address - Street 2:
Practice Address - City:DILLON
Practice Address - State:CO
Practice Address - Zip Code:80435-8485
Practice Address - Country:US
Practice Address - Phone:240-463-7719
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-29
Last Update Date:2025-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY010898363A00000X
CO2427363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant