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

JACQUELINE BARAJAS, PA-C

Active Sole Proprietor

JACQUELINE BARAJAS, PA-C is a Physician Assistant healthcare provider located in BOISE, Idaho. NPI 1821697590 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · BOISE, ID

Registration Details

NPI Number
1821697590
Provider Type
Individual
Gender
Female
NPI Issued
Oct 22, 2020 (5.7694223737666 yrs)
Last Updated
Apr 26, 2024
Licenses
PA2022-0084
PA2022-0084 (NM)
PA2022-084 (NM)
PA-2751 (ID)
Sole Proprietor
Yes

Practice Information

Address
701 E PARKCENTER BLVD
BOISE, ID, 837066528
Browse ID providers · Browse ZIP 83706
Phone
2083816500
Fax
2083816505
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant
Additional Specialty
Medical Physician Assistant
Additional Specialty
Physician Assistant

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.