Provider Demographics
NPI:1255972139
Name:SORRICK, JESSICA THEO (NP-C)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:THEO
Last Name:SORRICK
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1727
Mailing Address - Street 2:
Mailing Address - City:GRAND JUNCTION
Mailing Address - State:CO
Mailing Address - Zip Code:81502-1727
Mailing Address - Country:US
Mailing Address - Phone:970-257-6200
Mailing Address - Fax:970-263-2691
Practice Address - Street 1:688 23 1/2 RD STE 301
Practice Address - Street 2:
Practice Address - City:GRAND JUNCTION
Practice Address - State:CO
Practice Address - Zip Code:81505-8904
Practice Address - Country:US
Practice Address - Phone:970-644-4030
Practice Address - Fax:970-644-3914
Is Sole Proprietor?:No
Enumeration Date:2019-10-02
Last Update Date:2025-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2019024646363LF0000X
COC-APN.0103458-C-NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily