Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JONATHAN AMISSA
Active Sole ProprietorJONATHAN AMISSA is a Bus healthcare provider located in BOISE, Idaho. NPI 1639714025 is currently active in the NPPES registry. Verify at CMS.
Bus · BOISE, ID
Registration Details
- NPI Number
- 1639714025
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 9, 2019 (6.7505591288102 yrs)
- Last Updated
- Nov 9, 2019
- Sole Proprietor
- Yes
Practice Information
- Address
-
1573 S RIVERSTONE LN APT 303BOISE, ID, 837066542Browse ID providers · Browse ZIP 83706
- Phone
- 2088059839
- Primary Specialty
-
Bus
343900000X
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.