Individual provider · Type 1 NPI
Jaclyn Golus Mentzer, P.A.
Physician Assistant · Boise, ID
Practice location
388 E. Parkcenter Blvd. Gem State Dermatology
Boise, ID 83706
Fax (208) 424-5072
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology Physician | 207N00000X | M7247 (ID) |
| Physician Assistant | 363A00000X | PA773 (ID) |
| Physician Assistant Primary | 363A00000X | PA-773 (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 1487899365
Jaclyn Golus Mentzer, P.A.'s National Provider Identifier is 1487899365, issued on Dec 8, 2008. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Boise, ID. The record was last updated on Jan 27, 2020.