Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JACKIE J WHITESELL, MD
ActiveNeurology · BOISE, ID
Registration Details
- NPI Number
- 1346367984
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 26, 2007 (19.07258145846 yrs)
- Last Updated
- Apr 23, 2014
- License
-
M-11022 (ID)
Practice Information
- Address
-
1072 N LIBERTY STSUITE 303BOISE, ID, 837042800Browse ID providers · Browse ZIP 83704
- Phone
- 2083672800
- Fax
- 2083677111
- Primary Specialty
-
Neurology
2084N0400X
Other Neurology Providers in BOISE, ID
| Name | Credential | NPI |
|---|---|---|
| JAMES H WHITESIDE | MD | 1871588400 |
| GEORGE R LYONS | MD | 1386630465 |
| RICHARD W WILSON | MD | 1982691598 |
| KAREN PORTH | M.D. | 1033179288 |
| AMALIA ANTIGONI GELLER | M.D. | 1932399243 |
| SERGEI V KASHIRNY | MD | 1548452683 |
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.