Individual provider · Type 1 NPI
Jordan Patrick Ray
Psychiatric/Mental Health Nurse Practitioner · Idaho Falls, ID
NPI number
1922912435
Active
Practice location
2065 E 17th St Ste B
Idaho Falls, ID 83404-8042
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 5181639 (ID) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
2 other providers at this address
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About NPI 1922912435
Jordan Patrick Ray's National Provider Identifier is 1922912435, issued on Oct 1, 2026. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Idaho Falls, ID. The record was last updated on Oct 9, 2026.