NPI 1184594202

Jessica Morgan Kelly Waters

Practitioner Case Management Agency Boise, ID

Practice location

Address: 545 N Benjamin Ln STE 185, Boise, ID 83704-9625
Phone: (208) 322-1026
Fax: (208) 322-1029

Registered specialties (3)

Case Management Agency Primary

Agencies Taxonomy 251B00000X

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Case Manager/Care Coordinator

Other Service Providers Taxonomy 171M00000X

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Community/Behavioral Health Agency

Agencies Taxonomy 251S00000X

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Registry record

NPI: 1184594202
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Nov 2025
Record last updated: 5 Nov 2025

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.