Jacob Daniel Shirley, PA

NPI #1992463970 in Longmont, Colorado

Provider Information

NPI Number: 1992463970
Entity Type: Individual
Name: Jacob Daniel Shirley, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Dec 7, 2021
Last Updated: Jul 23, 2025

Practice Location

Address: 1925 MOUNTAIN VIEW AVE FL 3
City: Longmont
State: Colorado
ZIP Code: 80501-3128
Phone: (720) 718-8240

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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