Individual provider · Type 1 NPI
Jacob Craig Stoddard, APRN-CNP
Primary Care Nurse Practitioner · Idaho Falls, ID
NPI number
1174464929
Active
Practice location
2455 Blue Camas Way
Idaho Falls, ID 83402-3849
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | 5381502 (ID) |
Primary Care Nurse Practitioner: Definition to come...
Other primary care nurse practitioner providers in Idaho Falls
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- Kathryn E. Nielsen, NPPrimary Care Nurse Practitioner Idaho Falls, ID NPI 1619416674
- Bradley Radford, FNP-BCPrimary Care Nurse Practitioner Idaho Falls, ID NPI 1871191254
About NPI 1174464929
Jacob Craig Stoddard, APRN-CNP's National Provider Identifier is 1174464929, issued on Apr 4, 2026. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Idaho Falls, ID. The record was last updated on Apr 4, 2026.