Individual
JONATHAN ROBERT JERKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
700 W IRONWOOD DR STE 155, COEUR D ALENE, ID 83814-4462
(208) 667-0585
Mailing address
700 W. IRONWOOD DRIVE, SUITE 155, COEUR D'ALENE, ID 83814-4462
(208) 667-0585
(208) 625-2075
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
55030
TN
208000000X
Pediatrics Physician
Primary
M-13708
ID
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/19/2014
Last updated
05/29/2025
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