Individual provider · Type 1 NPI

Tyshae Jaggi, DO

Family Medicine Physician · Pocatello, ID

NPI number 1972127942 Active

Practice location

465 Memorial Dr
Pocatello, ID 83201-4008

Mailing address

500 S 11th Ave Ste 400
Pocatello, ID 83201-4880

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000XO-1597 (ID)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1972127942

Tyshae Jaggi, DO's National Provider Identifier is 1972127942, issued on Jun 4, 2020. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Pocatello, ID. The record was last updated on Jul 28, 2023.