Jameson, Jessica Berryman

Jameson, Jessica Berryman is an individual health care provider with primary practice located at 7600 N Mineral Dr Ste 450 , Coeur D Alene ID 83815-7709. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is her primary health care specialty. Jameson, Jessica Berryman can be contacted via phone (208) 457-4208.

Contact Information

Primary practice address
7600 N Mineral Dr Ste 450 Coeur D Alene ID 83815-7709
Phone: (208) 457-4208
Fax: (208) 457-4197
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X M-11915 Idaho
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X M-11915 Idaho

Profile Details

NPI number 1669573929
LBN Legal business name Jameson, Jessica Berryman
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2006
Last updated Aug 8th, 2022 - about 4 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 1669573929 NPPES
Idaho MEDICAID 1669573929

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