NPI 1154947950

Jackie Lyn Kayne-Sherar, PEERSUPPORT

Practitioner Community Health Worker Coeur D Alene, ID

Practice location

Address: 2025 W Park Pl STE B, Coeur D Alene, ID 83814-2787
Phone: (208) 620-5210
Fax: (844) 807-3782
Mailing address: PO Box 1387, Hayden, ID 83835-1387

Registered specialties

Community Health Worker Primary

Other Service Providers Taxonomy 172V00000X Licence 0 (ID)

Other Community Health Worker providers in Idaho →

Registry record

NPI: 1154947950
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Jun 2020
Record last updated: 18 Jun 2020

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.