Individual
JACKIE SCHALK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1072 N LIBERTY ST STE 200, BOISE, ID 83704-8963
(208) 302-4100
(208) 302-4135
Mailing address
PO BOX 190930, BOISE, ID 83719-0930
(208) 367-5170
(208) 367-5180
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
68558
ID
Other
Enumeration date
06/14/2021
Last updated
06/05/2024
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