Jacob D. Shirley, PA
Physician Assistant · Longmont, CO
UnclaimedPANPI 1992463970
- Primary taxonomy
- 363A00000X
- Enumerated
- 2021-12-07
- Practice location
- Longmont, CO
- Last NPPES update
- 2025-07-23
State licenses
- CO · Physician assistant · NPPES self-reportedListed on NPI record
- CO · Physician assistant · PAActivethrough 2028verify
- ID · Physician assistant · NPPES self-reportedListed on NPI record
- WY · Physician assistant · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.