Individual
DR. JESSE HINCKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
2280 E 25TH ST, IDAHO FALLS, ID 83404-7542
(208) 227-2100
Mailing address
PO BOX 742358, ATLANTA, GA 30374-2358
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
59845
CO
2084P0800X
Psychiatry Physician
M-17310
ID
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
M-17310
ID
Other
Enumeration date
04/07/2015
Last updated
08/11/2023
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