Individual
JACOB LYNN NESTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2100 ALAN ST, IDAHO FALLS, ID 83404-5801
(208) 470-7979
(833) 726-1877
Mailing address
2100 ALAN ST, IDAHO FALLS, ID 83404-5801
(208) 470-7979
(833) 726-1877
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P7551
ID
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
P7551
ID
Other
Enumeration date
07/11/2016
Last updated
06/04/2026
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