Whalio Doctors

NPI 1114335221

Mark a Jepson PLLC

Organisation Psychiatric/Mental Health Registered Nurse Boise, ID

Practice location

Address
413 N Allumbaugh St STE. 101, Boise, ID 83704-9212
Phone
(208) 323-1125
Fax
(208) 323-9604

Authorised official

Name
Mark Alan Jepson
Title
Owner
Phone
(208) 391-1043

Registered specialties

Psychiatric/Mental Health Registered Nurse Primary
Nursing Service Providers Taxonomy 163WP0808X Licence NP-902A (ID)

Registry record

NPI
1114335221
Entity type
Organization
NPI issued
1 Aug 2014
Record last updated
3 Feb 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.