MS. JENNA LYNN MAFFEY M.M.S; PA-C NPI 1467787598

NPI Information

NPI: 1467787598
Provider Name: MS. JENNA LYNN MAFFEY, M.M.S; PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
11197 W FAIRVIEW AVE
BOISE, ID
ZIP 83713
Phone: (208) 378-8011
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MS. Jenna Lynn Maffey, M.M.S; PA-C is a medical physician assistant in Boise, ID. MS. Jenna Lynn Maffey, M.M.S; PA-C NPI is 1467787598. 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:

11197 W FAIRVIEW AVE
BOISE, ID
ZIP 83713-935
Phone: (208) 378-8011
Fax: (208) 322-8095

The enumeration date for this NPI number is 10/7/2009 and was last updated on 1/21/2014.

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	363A00000X	Physician Assistant		60112494	WASHINGTON	No
2	363AM0700X	Physician Assistant	Medical	PA-929	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: 4/28/2024

NPI Synchronization or Removal

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