Search › Idaho › 363A00000X
Jamie Widman, PA-S
NPI 1972241826 · on the registry since 2022
Practice
- Address
- 1474 N Meridian Rd
Kuna, ID 83634 - Phone
- (208) 809-2885
- Fax
- (208) 809-2886
- Organisation at this address
- Alliance Medical Group, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Additional practice sites
- 122 E 1700 S, Provo, UT
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363A00000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-04-25
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