Provider Demographics
NPI:1184221624
Name:SHRIVER, JAMIE MARIE (PA-C)
Entity Type:Individual
Prefix:
First Name:JAMIE
Middle Name:MARIE
Last Name:SHRIVER
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5995 GREENWOOD PLAZA BLVD STE 150
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80111-4764
Mailing Address - Country:US
Mailing Address - Phone:303-750-9454
Mailing Address - Fax:303-750-1996
Practice Address - Street 1:5995 GREENWOOD PLAZA BLVD STE 150
Practice Address - Street 2:
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80111-4764
Practice Address - Country:US
Practice Address - Phone:303-750-9454
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-07
Last Update Date:2023-12-05
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant