MARK A JEPSON PLLC NPI 1114335221

NPI Information

MARK A JEPSON PLLC is a psychiatric/mental health registered nurse in Boise, ID. MARK A JEPSON PLLC NPI is 1114335221. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Former Legal Business Name Is Mark Alan Jepson.

The provider's business location address is:

413 N ALLUMBAUGH ST
STE. 101
BOISE, ID
ZIP 83704-212
Phone: (208) 323-1125
Fax: (208) 323-9604

The provider's authorized official is Mark Alan Jepson .
The authorized official title is Owner and has the following contact phone number (208) 391-1043.

The enumeration date for this NPI number is 8/1/2014 and was last updated on 2/3/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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