Individual
JESSICA A ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
980 W IRONWOOD DR STE 104, COEUR D ALENE, ID 83814-2668
(208) 667-0621
Mailing address
980 W IRONWOOD DR STE 104, COEUR D ALENE, ID 83814-2668
(208) 667-0621
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
TA60185752
WA
363AM0700X
Medical Physician Assistant
Primary
PA-2212
ID
Other
Enumeration date
09/01/2010
Last updated
01/21/2022
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