Individual
JASON JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1820 CALDWELL BLVD, NAMPA, ID 83651-1505
(208) 466-6567
(208) 466-7922
Mailing address
PO BOX 191050, BOISE, ID 83719-1050
(208) 955-6500
(208) 955-6501
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M-15508
ID
Other
Enumeration date
05/01/2019
Last updated
12/28/2023
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