Individual provider · Type 1 NPI

Alyssa Jenkins, PA-C

Medical Physician Assistant · Idaho Falls, ID

NPI number 1144772237 Active

Practice location

3820 Crestwood Ln
Idaho Falls, ID 83404

Fax (208) 552-1786

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA-1436 (ID)

Medical Physician Assistant: Definition to come...

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About NPI 1144772237

Alyssa Jenkins, PA-C's National Provider Identifier is 1144772237, issued on Oct 25, 2016. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Idaho Falls, ID. The record was last updated on May 23, 2019.