Search › Colorado › 363A00000X
Jacob Shirley, PA
NPI 1992463970 · on the registry since 2021
Practice
- Address
- 1925 Mountain View Ave Fl 3
Longmont, CO 80501 - Phone
- (720) 718-8240
- Fax
- (720) 718-0953
- Organisation at this address
- Longmont Clinic Lab
Poudre Valley Medical Group, Llc
University Physicians IncorporatedInferred from a shared address, not stated in the registry. - Clinicians at this address
- 92
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363A00000X
363A00000X - Licence states on file
- WY, ID, CO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-07-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Colorado