Search › Idaho › 363A00000X
Alyssa Jack, PA-C
NPI 1598357436 · on the registry since 2021
Practice
- Address
- 535 W Sunnyside Rd Ste 2
Idaho Falls, ID 83402 - Phone
- (208) 357-9700
- Fax
- (208) 963-3245
- Organisation at this address
- Helix Medical Llc
Rocky Mountain Medical Llc
Rocky Mountain Medical LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-06-17
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