Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JORDAN W MERRILL, MD
ActiveJORDAN W MERRILL, MD is a Psychiatry healthcare provider located in EAGLE, Idaho. NPI 1902197007 is currently active in the NPPES registry. Verify at CMS.
Psychiatry · EAGLE, ID
Registration Details
- NPI Number
- 1902197007
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 22, 2011 (15.266881094503 yrs)
- Last Updated
- Nov 22, 2021
- License
-
M-13001 (ID)
Practice Information
- Address
-
1032 S. BRIDGEWAY PL.STE 110EAGLE, ID, 83616Browse ID providers · Browse ZIP 83616
- Phone
- 2084750800
- Fax
- 2086390901
- Primary Specialty
-
Psychiatry
2084P0800X
Other Psychiatry Providers in EAGLE, ID
| Name | Credential | NPI |
|---|---|---|
| AMY S EDWARDS | MD | 1881688810 |
| CHRISTINE E BIRCH | PA-C | 1871912634 |
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.