Individual
ANDREA JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
808 CLEVELAND BLVD, CALDWELL, ID 83605-4168
(208) 459-1025
(208) 466-5359
Mailing address
PO BOX 9, NAMPA, ID 83653-0009
(208) 461-7149
(208) 466-5359
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-2402
ID
363A00000X
Physician Assistant
—
—
Other
Enumeration date
06/10/2022
Last updated
01/10/2023
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