Jonathan Lane Shepard, PA-C

Physician Assistant · Cortez, CO

Individual Active NPI

NPI number 1205174174

Practice location

1413 N Mildred Rd
Cortez, CO 81321-2258
Phone
(970) 564-1037
Fax
(970) 564-1041

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NPI record

NPI
1205174174
Entity type
Individual (Type 1)
Enumeration date
January 28, 2013
Last updated
November 5, 2024
Certified
November 5, 2024
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X PA.0004608 CO
Physician Assistant 363A00000X — CT

About Jonathan Shepard

Jonathan Lane Shepard, PA-C is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 1413 N Mildred Rd, Cortez, CO 81321-2258. The NPI number 1205174174 was assigned on January 28, 2013 and the record was last updated on November 5, 2024.

Jonathan Shepard lists a license in the registry: #PA.0004608 (CO) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jonathan Lane Shepard, PA-C?

The NPI number is 1205174174.

What is the phone number of Jonathan Shepard?

The phone number listed for the practice location is (970) 564-1037.

Where is Jonathan Shepard located?

1413 N Mildred Rd, Cortez, CO 81321-2258.

What is the taxonomy code for Jonathan Shepard?

The primary taxonomy code is 363A00000X – Physician Assistant; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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