Individual provider · Type 1 NPI
Jacob Shane Tebbs, PA-C
Medical Physician Assistant · Boise, ID
NPI number
1154870251
Active
Practice location
6051 N Eagle Rd
Boise, ID 83713-0997
Fax (208) 205-9134
Mailing address
1900 N State St
Provo, UT 84604-1305
Other practice locations
- 999 N Curtis Rd Ste 307, Boise, ID 83706-1333 · (208) 519-4333
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 10103875-1206 (UT) |
Medical Physician Assistant: Definition to come...
8 other providers at this address
- 1st Class Dentures, LLCDenturist Boise, ID NPI 1750223475
- Boise Podiatry Clinic, P. A.Primary Podiatric Medicine Podiatrist Boise, ID NPI 1982711578
- Clinton Clark DPM LLCFoot & Ankle Surgery Podiatrist Boise, ID NPI 1104975168
- Dana J. TriplittDenturist Boise, ID NPI 1720920457
- Dustin Ray Portela, DODermatology Physician Boise, ID NPI 1588002547
- Gary J. Millward, DPMPodiatrist Boise, ID NPI 1063462075
- Heidi Marie Van Giffen, L.D.Denturist Boise, ID NPI 1700099694
- Scott A. Graviet, DPMPodiatrist Boise, ID NPI 1578514618
Other medical physician assistant providers in Boise
- Scott Patrick Morrill, PA-CMedical Physician Assistant Boise, ID NPI 1033354915
- Jessica Anne Briggs, PA-CMedical Physician Assistant Boise, ID NPI 1053311084
- Jennifer M. Feirstein, PA-CMedical Physician Assistant Boise, ID NPI 1073599106
- Jayne Nelson, PA-CMedical Physician Assistant Boise, ID NPI 1073731196
- Jessica Bishop, PA-CMedical Physician Assistant Boise, ID NPI 1073915963
- Elizabeth B. Judy-Fudge, PAMedical Physician Assistant Boise, ID NPI 1083123277
- David M. Landis, PA-CMedical Physician Assistant Boise, ID NPI 1104044247
- Danielle Burke, PA-CMedical Physician Assistant Boise, ID NPI 1124498860
About NPI 1154870251
Jacob Shane Tebbs, PA-C's National Provider Identifier is 1154870251, issued on Sep 29, 2016. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Boise, ID. The record was last updated on Aug 7, 2020.