Search › Idaho › Psychiatry Physician
James Shackelford, MD
NPI 1639217359 · on the registry since 2007
Practice
- Address
- 777 N Raymond St
Boise, ID 83704 - Phone
- (208) 514-2500
- Fax
- (208) 375-2217
- Organisation at this address
- Family Practice Medical
Full Circle Health, Inc.
Family Practice Residency Of Idaho, IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 156
Additional practice sites
- 211 16th Ave N, Nampa, ID
- 211 16th Ave N, Nampa, ID
Registry record
- Primary taxonomy
- Psychiatry Physician
2084P0800X
- Also registered as
- Family Medicine Physician
Psychiatry Physician - Licence states on file
- CA, ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-12-20
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