Provider Demographics
NPI:1578170296
Name:KORPAL, JOCELYN (FNP-BC)
Entity Type:Individual
Prefix:
First Name:JOCELYN
Middle Name:
Last Name:KORPAL
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6464 N ENSENADA CT
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80019-2167
Mailing Address - Country:US
Mailing Address - Phone:574-607-7114
Mailing Address - Fax:
Practice Address - Street 1:6041 S SYRACUSE WAY STE 220
Practice Address - Street 2:
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80111-4716
Practice Address - Country:US
Practice Address - Phone:720-482-1988
Practice Address - Fax:720-482-1990
Is Sole Proprietor?:No
Enumeration Date:2020-09-27
Last Update Date:2023-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN71010521A363L00000X
CO0997772363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner