Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JESSICA MADDOX, M.D.
Active Sole ProprietorPediatrics · BOISE, ID
Registration Details
- NPI Number
- 1801281175
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 2, 2015 (11.114332636871 yrs)
- Last Updated
- Dec 10, 2025
- License
-
M-14388 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
190 E BANNOCK STBOISE, ID, 837126241Browse ID providers · Browse ZIP 83712
- Phone
- 2083812645
- Primary Specialty
-
Pediatrics
208000000X
Other Pediatrics Providers in BOISE, ID
| Name | Credential | NPI |
|---|---|---|
| DR. VELMA SUSAN BRADFORD | M.D. | 1629070636 |
| MR. GREGORY G JANOS | MD | 1336133776 |
| MR. WILLIAM SULLIVAN BOURQUARD | MD | 1568451193 |
| MRS. CATHY DIANE SANDSTROM | MD | 1215926845 |
| DR. KATHERINE S STEVENS | MD | 1124017462 |
| MR. THOMAS S PATTERSON | M.D. | 1467442467 |
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.