Provider Demographics
NPI:1407942485
Name:OCHS, JESSICA LEE (PA-C)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:LEE
Last Name:OCHS
Suffix:
Gender:F
Credentials:PA-C
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:4875 CHEYENNE DR
Mailing Address - Street 2:
Mailing Address - City:LARKSPUR
Mailing Address - State:CO
Mailing Address - Zip Code:80118-8514
Mailing Address - Country:US
Mailing Address - Phone:719-393-5856
Mailing Address - Fax:719-550-0304
Practice Address - Street 1:10807 NEW ALLEGIANCE DR
Practice Address - Street 2:SUITE 400
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80921-3796
Practice Address - Country:US
Practice Address - Phone:719-550-8346
Practice Address - Fax:719-550-0304
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2022-12-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CO2315363AS0400X
COPENDING363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical