Individual
MS. JAMIE JILL PAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6165 W EMERALD ST, BOISE, ID 83704-8613
(208) 302-3900
(208) 302-3955
Mailing address
PO BOX 190930, BOISE, ID 83719-0930
(208) 367-5170
(208) 367-5180
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
PA1292
ID
363AS0400X
Surgical Physician Assistant
PA.0006613
CO
363AS0400X
Surgical Physician Assistant
Primary
PA1292
ID
Other
Enumeration date
09/25/2015
Last updated
05/05/2025
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