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Search › Idaho › 225X00000X

Deborah Jackson

NPI 1881002178 · on the registry since 2014

Practice

Address
245 N 3rd E
Mountain Home, ID 83647
Phone
(208) 587-8255
Fax
(208) 587-4475
Organisation at this address
Advanced Therapy Care Pllc
Advanced Therapy Care, Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
20

Registry record

Primary taxonomy
225X00000X
225X00000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2014-07-30

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