Individual
JENNIFER ACKERLY WOODS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
500 W FORT ST, BOISE, ID 83702-4501
(208) 422-1325
(208) 422-1265
Mailing address
1822 E MONTELLO LN, BOISE, ID 83712-6702
(208) 343-5759
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
ID-254
ID
Other
Enumeration date
08/31/2006
Last updated
02/23/2022
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