ALYSSA JENKINS PA-C NPI 1144772237

NPI Information

NPI: 1144772237
Provider Name: ALYSSA JENKINS, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Organization: FAMILY FIRST MEDICAL CENTER, PLLC

PECOS Registration: Yes

Address:
3820 CRESTWOOD LN
IDAHO FALLS, ID
ZIP 83404
Phone: (208) 552-7700
Get Directions

Alyssa Jenkins, PA-C is a medical physician assistant in Idaho Falls, ID with 8 years of experience. Alyssa Jenkins, PA-C NPI is 1144772237. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3820 CRESTWOOD LN
IDAHO FALLS, ID
ZIP 83404
Phone: (208) 552-7700
Fax: (208) 552-1786

The NPI 1144772237 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/25/2016 and was last updated on 5/23/2019.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	PA-1436	IDAHO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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