Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JENNY RICKELL WILLMORE, P.A.-C.
ActiveJENNY RICKELL WILLMORE, P.A.-C. is a Physician Assistant healthcare provider located in SAINT ANTHONY, Idaho. NPI 1003992140 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · SAINT ANTHONY, ID
Registration Details
- NPI Number
- 1003992140
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 31, 2006 (19.78042941291 yrs)
- Last Updated
- Sep 25, 2012
- License
-
PA-519 (ID)
Practice Information
- Address
-
605 MAPLE AVESAINT ANTHONY, ID, 834455529Browse ID providers · Browse ZIP 83445
- Phone
- 2086244002
- Fax
- 2086244409
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in SAINT ANTHONY, ID
| Name | Credential | NPI |
|---|---|---|
| BRYCE DAVID WYLIE | PA-C | 1811043862 |
| ANDREW LOGAN BROWER | PA-C | 1760766976 |
| ROBERT CREIGHTON SHUMWAY | PA-C, CAQ-PSYCH | 1942784756 |
| DANIEL A SQUIRE | PA-C | 1447734892 |
| RYAN G WILLMORE | PA-C | 1750840138 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.