Jenna Brianne Cappello, PA-C

NPI #1093046625 in Longmont, Colorado

Provider Information

NPI Number: 1093046625
Entity Type: Individual
Name: Jenna Brianne Cappello, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jan 21, 2010
Last Updated: Mar 31, 2011

Practice Location

Address: 1551 PROFESSIONAL LN
Address 2: STE. 200
City: Longmont
State: Colorado
ZIP Code: 80501-6972
Phone: (303) 772-1600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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