Individual
JOCELE SKINNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
315 E ELM ST STE 201, CALDWELL, ID 83605-4857
(208) 514-2528
(208) 375-2217
Mailing address
777 N RAYMOND ST, BOISE, ID 83704-9251
(208) 514-2500
(208) 375-2217
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M8932
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
806357800
—
ID
Enumeration date
06/16/2006
Last updated
07/17/2023
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