Individual provider · Type 1 NPI

Jackie J. Whitesell, MD

Neurology Physician · Boise, ID

NPI number 1346367984 Active

Practice location

1072 N Liberty St, Suite 303
Boise, ID 83704-2800

Call (208) 367-2800 Map

Fax (208) 367-7111

Mailing address

3340 E Goldstone Way
Meridian, ID 83642-1026

Specialties and licenses

TaxonomyCodeLicense
Neurology Physician Primary 2084N0400XM-11022 (ID)

Neurology Physician: A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

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About NPI 1346367984

Jackie J. Whitesell, MD's National Provider Identifier is 1346367984, issued on Mar 26, 2007. The primary taxonomy on file is Neurology Physician (2084N0400X), and the practice location is in Boise, ID. The record was last updated on Apr 23, 2014.