Search › Idaho › 363A00000X
Jessica Cruz, MPAS, PA-C
NPI 1952942195 · on the registry since 2019
Practice
- Address
- 213 N Main St
Moscow, ID 83843 - Phone
- (208) 882-7565
- Fax
- (208) 882-7567
- Organisation at this address
- Optic Art Ii, P.C.
Optic Art Iii, Pllc
Inclusion North, Inc
Moscow Medical, P.A.
Inclusion North, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 11
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
- 2019-09-30
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