SearchIdaho235Z00000X

Jacqueline Brown

NPI 1326592767 · on the registry since 2016

Practice

Address
30 N 1st E
Driggs, ID 83422
Phone
(208) 716-2351

Registry record

Primary taxonomy
235Z00000X
235Z00000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2016-08-14

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