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

JACKIE B CALLAWAY, PA

Active

JACKIE B CALLAWAY, PA is a Physician Assistant healthcare provider located in BOISE, Idaho. NPI 1801196720 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · BOISE, ID

Registration Details

NPI Number
1801196720
Provider Type
Individual
Gender
Female
NPI Issued
Oct 26, 2010 (15.779359927386 yrs)
Last Updated
Aug 23, 2023
License
PA-865 (ID)

Practice Information

Address
600 N ROBBINS RD STE 302
BOISE, ID, 837024565
Browse ID providers · Browse ZIP 83702
Phone
2087065930
Fax
2087065942
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in BOISE, ID

Name Credential NPI
MS. YELENA SHUEY PA-C 1124029939
JEFFREY D SMITH PA C 1013905793
CHADWICK ALDEN FISHER PA 1497744338
RACHEL KING PA 1205826245
DARRELL L KING PA 1770573644
THOMAS F DOUTHIT PA-C 1023008414
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.