Jenny Rickell Willmore in Saint Anthony - Physician Assistant
Jenny Rickell Willmore - NPI 1003992140
Jenny Rickell Willmore is a Physician Assistant in Saint Anthony, Idaho. Jenny Rickell Willmore practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Jenny Rickell Willmore is 1003992140. The last update date is 2012-09-25.
Jenny Rickell Willmore's current location address is 605 Maple Ave, Saint Anthony, Idaho. You can contact this provider via phone number 2086244402 and fax number 2086244409. The mailing address for Jenny Rickell Willmore is 605 Maple Ave, Saint Anthony, Idaho. To know further, please read the information below!
Provider Profile Detail
Provider Name | Jenny Rickell Willmore |
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Address | 605 Maple Ave, Saint Anthony, Idaho |
Phone Number | 2086244402 |
Fax Number | 2086244409 |
Sole Proprietor | N |
Credentials | P.A.-C. |
NPI Number Detail
NPI Number | 1003992140 |
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Provider Enumeration Date | 2006-10-31 |
Last Updated Date | 2012-09-25 |
Provider Mailing Address Detail
Address | 605 Maple Ave |
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City | Saint Anthony |
State | Idaho (ID) |
Post Code | 834455529 |
Phone Number | 2086244402 |
Fax Number | 2086244409 |
Provider's Primary Taxonomy Detail
Speciality | Physician Assistant |
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Taxonomy | 363A00000X |
Licence No | PA-519 |
Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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807122700 | ID | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Jenny Rickell Willmore by the Centers for Medicare & Medicaid Services?
The Jenny Rickell Willmore has been issued the NPI (National Provider Identifier) 1003992140, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Jenny Rickell Willmore is physically located?
The Jenny Rickell Willmore is physically situated at the following address: 605 Maple Ave, Saint Anthony, ID, 834455529.
What is Jenny Rickell Willmore's area of expertise and its corresponding taxonomy classification?
The Jenny Rickell Willmore's field of specialization is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Jenny Rickell Willmore receive its 1003992140 assignment from the Centers for Medicare & Medicaid Services?
The Jenny Rickell Willmore was assigned its 1003992140 by the Centers for Medicare & Medicaid Services on 2006-10-31.
As of what date was the information regarding Jenny Rickell Willmore, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jenny Rickell Willmore, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2012-09-25.