NPI 1669067419
Jacquelyn Wheatley
Practice location
- Address
- 808 N 8th Ave, Pocatello, ID 83201-5718
- Phone
- (208) 235-6565
- Fax
- (208) 235-7264
- Mailing address
- 88 Cedar Hills Dr, Pocatello, ID 83204-4400
Registered specialties (2)
Personal Care Attendant
Primary
Homemaker
Registry record
- NPI
- 1669067419
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 3 Mar 2021
- Record last updated
- 3 Mar 2021
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.