SearchIdahoPhysician Assistant

Jenny Willmore, P.A.-C

NPI 1003992140 · on the registry since 2006

Practice

Address
605 Maple Ave
Saint Anthony, ID 83445
Phone
(208) 624-4002
Fax
(208) 624-4409

Registry record

Primary taxonomy
Physician Assistant
363A00000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2012-09-25

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho