Whalio Doctors

NPI 1003426701

Jess Lufkin, CRNA

Practitioner Certified Registered Nurse Anesthetist Pocatello, ID

Practice location

Address
777 Hospital Way, Pocatello, ID 83201-5175
Phone
(208) 716-7215
Mailing address
1891 Kinghorn Rd, Pocatello, ID 83201-4996

Registered specialties (4)

Certified Registered Nurse Anesthetist Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence 69208 (ID)
Registered Nurse
Nursing Service Providers Taxonomy 163W00000X Licence RN9493739 (FL)
Registered Nurse
Nursing Service Providers Taxonomy 163W00000X Licence RN9493739 (IN)
School Registered Nurse
Nursing Service Providers Taxonomy 163WS0200X Licence RN9493739 (FL)

Registry record

NPI
1003426701
Entity type
Individual
Sex (as registered)
Male
NPI issued
6 Aug 2020
Record last updated
17 Feb 2022

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.