| Mrs Jennice M Cordova, PA-C | |
| 201 S 1st Ave E, Middleton, ID 83644-5809 | |
| (208) 585-6311 | |
| (208) 585-6221 | 
| Full Name | Mrs Jennice M Cordova | 
|---|---|
| Gender | Female | 
| Speciality | Physician Assistant - Medical | 
| Location | 201 S 1st Ave E, Middleton, Idaho | 
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1609856079 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA-281 (Idaho) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mrs Jennice M Cordova, PA-C 2165 Aspen Cove Dr, Meridian, ID 83642-6517 Ph: (208) 288-2548 | Mrs Jennice M Cordova, PA-C 201 S 1st Ave E, Middleton, ID 83644-5809 Ph: (208) 585-6311 | 
| Mr. Brenton James Noel, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 381 S Middleton Rd Ste B, Middleton, ID 83644 Phone: 208-585-6311 | |
| Kristin A Christensen, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 381 S Middleton Rd Ste B, Suite 115, Middleton, ID 83644 Phone: 208-585-6311 Fax: 208-585-6221 | |
| Kristine P Kingery, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 381 S Middleton Rd Ste B, Middleton, ID 83644 Phone: 208-585-6311 |