Provider Demographics
NPI:1609922376
Name:PARISET, JACQUELYN M (MD)
Entity type:Individual
Prefix:
First Name:JACQUELYN
Middle Name:M
Last Name:PARISET
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:JACQUELYN
Other - Middle Name:M
Other - Last Name:JONAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:13402 W COAL MINE AVE
Mailing Address - Street 2:STE 230
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80127-5407
Mailing Address - Country:US
Mailing Address - Phone:303-730-2167
Mailing Address - Fax:303-996-4820
Practice Address - Street 1:13402 W COAL MINE AVE
Practice Address - Street 2:SUITE 230
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80127-5407
Practice Address - Country:US
Practice Address - Phone:303-730-2167
Practice Address - Fax:303-996-4820
Is Sole Proprietor?:No
Enumeration Date:2007-01-26
Last Update Date:2016-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO45654207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine