# JASPER HEALTH, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700511516
- **Authorized official:** HOLLY ANGELINA SPINKS (CHIEF CLINICAL & COMPLIANCE OFFICER)
- **Authorized official phone:** (302) 312-6332

## Contact information

- **Practice address:** 950 W BANNOCK ST STE 1100, BOISE, ID 83702-6140
- **Practice address phone:** (929) 552-3904
- **Mailing address:** 950 W BANNOCK ST STE 1100, BOISE, ID 83702-6140

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | — | NULL | Yes |
| 174400000X | Specialist | — | — | Yes |

## Other

- **Enumeration date:** 07/18/2022
- **Last updated:** 12/05/2023
