Individual
JADE R JARDINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1525 WESTLAND AVE, IDAHO FALLS, ID 83402-2603
(208) 530-0654
Mailing address
1525 WESTLAND AVE, IDAHO FALLS, ID 83402-2603
(208) 530-0654
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
ID
Other
Enumeration date
10/22/2025
Last updated
10/22/2025
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