Alice Rachel Jessup

NPI #1023745411 in Boise, Idaho

Provider Information

NPI Number: 1023745411
Entity Type: Individual
Name: Alice Rachel Jessup
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Enumeration Date: Aug 4, 2022
Last Updated: Aug 29, 2024

Practice Location

Address: 3395 E WINDSONG DR
City: Boise
State: Idaho
ZIP Code: 83712-8595
Phone: (208) 972-6117

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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