Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JADE DARDINE, MD
Active Sole ProprietorJADE DARDINE, MD is a Family Medicine healthcare provider located in PONDERAY, Idaho. NPI 1720493638 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · PONDERAY, ID
Registration Details
- NPI Number
- 1720493638
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 30, 2014 (12.12349770984 yrs)
- Last Updated
- Dec 27, 2017
- License
-
M-13138 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
30410 HIGHWAY 200PONDERAY, ID, 838529601Browse ID providers · Browse ZIP 83852
- Phone
- 2082637101
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in PONDERAY, ID
| Name | Credential | NPI |
|---|---|---|
| DR. THOMAS G FLETCHER | M.D. | 1780646661 |
| DR. JOAN M BLOOM | M.D. | 1033229307 |
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.