Provider Demographics
NPI:1144181793
Name:JUBULIS, GRACE ELLEN (PA-C)
Entity type:Individual
Prefix:MISS
First Name:GRACE
Middle Name:ELLEN
Last Name:JUBULIS
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:1805 SHEA CENTER DR STE 450
Mailing Address - Street 2:
Mailing Address - City:HIGHLANDS RANCH
Mailing Address - State:CO
Mailing Address - Zip Code:80129-2255
Mailing Address - Country:US
Mailing Address - Phone:303-357-2559
Mailing Address - Fax:720-828-7901
Practice Address - Street 1:9135 RIDGELINE BLVD STE 190
Practice Address - Street 2:
Practice Address - City:HIGHLANDS RANCH
Practice Address - State:CO
Practice Address - Zip Code:80129-2395
Practice Address - Country:US
Practice Address - Phone:720-828-7755
Practice Address - Fax:720-828-7901
Is Sole Proprietor?:No
Enumeration Date:2025-11-22
Last Update Date:2025-11-24
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Provider Licenses
StateLicense IDTaxonomies
COPA.0009409363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant