Individual
JASON KNIGHTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
2928 MICHELLE ST, POCATELLO, ID 83201-8031
(208) 244-0997
(208) 561-6902
Mailing address
3189 N BANNOCK HWY, POCATELLO, ID 83204-3806
(208) 220-3516
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
60732
ID
Other
Enumeration date
02/07/2019
Last updated
03/09/2024
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