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

MR. JAY DEAN BURRUP, PA-C

Active

MR. JAY DEAN BURRUP, PA-C is a Physician Assistant healthcare provider located in MERIDIAN, Idaho. NPI 1144504556 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · MERIDIAN, ID

Registration Details

NPI Number
1144504556
Provider Type
Individual
Gender
Male
NPI Issued
Oct 4, 2011 (14.842633470284 yrs)
Last Updated
Feb 7, 2025
License
PA-1593 (ID)

Practice Information

Address
3399 E LOUISE DR STE 400
MERIDIAN, ID, 836425212
Browse ID providers · Browse ZIP 83642
Phone
2087064650
Fax
2087064651
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in MERIDIAN, ID

Name Credential NPI
ALBERT DONALD BICKFORD PA-C 1124092101
ARLENE C HARTLEY PA-C 1194792473
BRANDIE DAWN COLLINS PA 1124077151
KATHLEEN ROSE NIELSEN PA 1336196757
BRADLEY D MULKEY PA 1487691176
MR. STEPHEN J FRELLY PA 1114966959
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.