Individual
JON PATXI CRISWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
63 W WILLOWBROOK DR, MERIDIAN, ID 83646-1656
(208) 888-7877
(208) 593-3671
Mailing address
63 W WILLOWBROOK DR, MERIDIAN, ID 83646-1656
(088) 887-8772
(208) 593-3671
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
61604
ID
363LF0000X
Family Nurse Practitioner
899421
ID
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
61604
ID
Other
Enumeration date
10/28/2022
Last updated
07/09/2025
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