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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. MELVIN TERRY JEPPSON, M.D.

Deactivated Sole Proprietor

MR. MELVIN TERRY JEPPSON, M.D. is a Obstetrics & Gynecology healthcare provider located in BURLEY, Idaho. NPI 1114910296 is deactivated in the NPPES registry. Verify at CMS.

Obstetrics & Gynecology · BURLEY, ID

This NPI has been deactivated. The record was deactivated on April 3, 2006. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1114910296
Provider Type
Individual
Gender
Male
NPI Issued
Aug 24, 2005 (0.60821917808219 yrs)
Last Updated
Jun 17, 2021
Deactivated
Apr 3, 2006
License
M5646 (ID)
Sole Proprietor
Yes

Practice Information

Address
1501 HILAND AVE
SUITE B
BURLEY, ID, 833182682
Browse ID providers · Browse ZIP 83318
Phone
2088782229
Fax
2088784599
Primary Specialty
Obstetrics & Gynecology
207V00000X

Other Obstetrics & Gynecology Providers in BURLEY, ID

Name Credential NPI
DR. JASON ONEAL PARKINSON D.O. 1396914917
PAMELA MILLS M.D. 1750794913
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.