Jade R Jardine

NPI #1992672901 in Idaho Falls, Idaho

Provider Information

NPI Number: 1992672901
Entity Type: Individual
Name: Jade R Jardine
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Oct 22, 2025
Last Updated: Oct 22, 2025

Practice Location

Address: 1525 WESTLAND AVE
City: Idaho Falls
State: Idaho
ZIP Code: 83402-2603
Phone: (208) 530-0654

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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