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

NICOLE LYNN ACKLEY, PHYSICIAN ASSISTANT

Active Sole Proprietor

NICOLE LYNN ACKLEY, PHYSICIAN ASSISTANT is a Medical Physician Assistant healthcare provider located in BOISE, Idaho. NPI 1265532337 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · BOISE, ID

Registration Details

NPI Number
1265532337
Provider Type
Individual
Gender
Female
NPI Issued
Sep 25, 2006 (19.853408530292 yrs)
Last Updated
Jul 8, 2007
Sole Proprietor
Yes

Practice Information

Address
500 W FORT ST
BOISE, ID, 837024501
Browse ID providers · Browse ZIP 83702
Phone
2084221000
Fax
2084221265
Primary Specialty
Medical Physician Assistant
363AM0700X

Other Medical Physician Assistant Providers in BOISE, ID

Name Credential NPI
MARSHALL GARDNER PA-C 1316943343
JESSICA ANNE BRIGGS PA-C 1053311084
BRADY G HAMILTON PA-C 1245221258
NATHAN JOHN CHURCH PA-C 1386635977
MRS. JENNIFER M FEIRSTEIN PA-C 1073599106
ROBERT E SHUMAKER PA 1902867849
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.