Search › Idaho › 207Q00000X
Jaclyn Cooperrider, MD
NPI 1518372846 · on the registry since 2014
Practice
- Address
- 325 W Idaho St
Boise, ID 83702 - Phone
- (208) 514-2525
- Fax
- (208) 375-2217
- Clinicians at this address
- 18
Additional practice sites
- 1188 W University Dr, Boise, ID
- 777 N Raymond St, Boise, ID
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Also registered as
- 207Q00000X
207QS0010X - Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-12-15
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