Jean Vandenberg

NPI 1912190422 · on the registry since 2007

Practice

Address: 91 E Croy St
Hailey, ID 83333
Phone: (208) 788-9714
Organisation at this address: Atkinsons Market, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 4

Additional practice sites

306 Blue Lakes Blvd N, Twin Falls, ID

Registry record

Primary taxonomy: 183500000X
183500000X
Licence states on file: ID
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2025-07-05

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