Individual provider · Type 1 NPI

Jenny Rickell Willmore, P.A.-C.

Physician Assistant · St. Anthony, ID

NPI number 1003992140 Active

Practice location

605 Maple Ave
St. Anthony, ID 83445-5529

Fax (208) 624-4409

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA-519 (ID)

Physician Assistant: 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 perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1003992140

Jenny Rickell Willmore, P.A.-C.'s National Provider Identifier is 1003992140, issued on Oct 31, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in St. Anthony, ID. The record was last updated on Sep 25, 2012.