Jessica Morgan Kelly Waters

NPI #1184594202 in Boise, Idaho

Provider Information

NPI Number: 1184594202
Entity Type: Individual
Name: Jessica Morgan Kelly Waters
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Case Management
Enumeration Date: Nov 5, 2025
Last Updated: Nov 5, 2025

Practice Location

Address: 545 N BENJAMIN LN STE 185
City: Boise
State: Idaho
ZIP Code: 83704-9625
Phone: (208) 322-1026

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Manager/Care Coordinator	171M00000X
Community/Behavioral Health	251S00000X
Case Management	251B00000X	Primary

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