NPI 1023956224

Beverly Joanne Jackson

Practitioner Student in an Organized Health Care Education/Training Program Idaho Falls, ID

Practice location

Address: 3100 Channing Way, Idaho Falls, ID 83404-7533
Phone: (208) 529-6111

Registered specialties

Student in an Organized Health Care Education/Training Program Primary

Student, Health Care Taxonomy 390200000X

Other Student in an Organized Health Care Education/Training Program providers in Idaho →

Registry record

NPI: 1023956224
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 Mar 2026
Record last updated: 23 Mar 2026

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.