Individual
PAUL CODY JAMESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
96 CEDAR HILLS DR, POCATELLO, ID 83204-4400
(208) 849-8226
(208) 978-4412
Mailing address
96 CEDAR HILLS DR, POCATELLO, ID 83204-4400
(208) 849-8226
(208) 978-4412
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
68528
ID
Other
Enumeration date
06/08/2021
Last updated
04/27/2026
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