Jackson, Leah

Jackson, Leah is an sole proprietor health care provider with primary practice located at 1055 N Curtis Rd , Boise ID 83706-1309. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Jackson, Leah can be contacted via phone (208) 367-7350.

Contact Information

Primary practice address
1055 N Curtis Rd Boise ID 83706-1309
Phone: (208) 367-7350
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN00155803 Washington
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 72172 Idaho
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X AP61051873 Washington
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X AP61051873 Washington

Profile Details

NPI number 1730692989
LBN Legal business name Jackson, Leah
Credentials ARNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 9th, 2017
Last updated Oct 13th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730692989 NPPES
Washington MEDICAID AP61051873

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