NPI 1104526813

Jayme Crockett, CPMLM

Practitioner Midwife Boise, ID

Practice location

Address: 4041 S Argonaut Ave, Boise, ID 83709-4708
Phone: (832) 217-9567

Registered specialties

Midwife Primary

Other Service Providers Taxonomy 176B00000X Licence MID-144 (ID)

Other Midwife providers in Idaho →

Registry record

NPI: 1104526813
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Mar 2023
Record last updated: 9 Mar 2023

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.