Individual
JESSICA CROSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
212 EMERALD DR, KELLOGG, ID 83837-2231
(208) 512-1027
Mailing address
PO BOX 695, KELLOGG, ID 83837-0695
(208) 512-1027
Taxonomy
Speciality
Code
Description
License number
State
342000000X
Transportation Network Company
—
ID
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
347E00000X
Transportation Broker
Primary
—
ID
Other
Enumeration date
07/12/2016
Last updated
03/23/2026
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