Jenny Rickell Willmore, P.A.-C.
NPI #1003992140 in Saint Anthony, Idaho
Provider Information
- NPI Number
- 1003992140
- Entity Type
- Individual
- Name
- Jenny Rickell Willmore, P.A.-C.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- P.A.-C.
- Enumeration Date
- Oct 31, 2006
- Last Updated
- Sep 25, 2012
Practice Location
- Address
- 605 MAPLE AVE
- City
- Saint Anthony
- State
- Idaho
- ZIP Code
- 83445-5529
- Phone
- (208) 624-4002
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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