Individual provider · Type 1 NPI
Jade R. Jardine
Peer Specialist · Idaho Falls, ID
NPI number
1992672901
Active
Practice location
1525 Westland Ave
Idaho Falls, ID 83402-2603
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Peer Specialist Primary | 175T00000X | None listed |
Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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About NPI 1992672901
Jade R. Jardine's National Provider Identifier is 1992672901, issued on Oct 22, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Idaho Falls, ID. The record was last updated on Oct 22, 2025.