Provider Demographics
NPI:1023742111
Name:SHORT, JAIME MARIE (PA-C)
Entity type:Individual
Prefix:MS
First Name:JAIME
Middle Name:MARIE
Last Name:SHORT
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:PREMIER PEDIATRICS-1606 PRAIRIE CENTER PKWY
Mailing Address - Street 2:SUITE 300
Mailing Address - City:BRIGHTON
Mailing Address - State:CO
Mailing Address - Zip Code:80601
Mailing Address - Country:US
Mailing Address - Phone:303-655-1685
Mailing Address - Fax:303-655-1703
Practice Address - Street 1:PREMIER PEDIATRICS-1606 PRAIRIE CENTER PKWY
Practice Address - Street 2:SUITE 300
Practice Address - City:BRIGHTON
Practice Address - State:CO
Practice Address - Zip Code:80601
Practice Address - Country:US
Practice Address - Phone:303-655-1685
Practice Address - Fax:303-655-1703
Is Sole Proprietor?:No
Enumeration Date:2022-07-13
Last Update Date:2024-12-26
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Provider Licenses
StateLicense IDTaxonomies
CO0008705363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical