Individual
JENNA MARIE CASTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
950 HOSPITAL WAY, SUITE A, POCATELLO, ID 83201-2762
(208) 478-4522
(208) 712-6868
Mailing address
P.O. BOX 4168, POCATELLO, ID 83205-4168
(208) 239-1035
(208) 239-3626
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA1971
ID
Other
Enumeration date
08/24/2020
Last updated
11/19/2025
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