Jeppesen, Mykell Valentina

Jeppesen, Mykell Valentina is an individual health care provider with primary practice located at 685 1St St , Idaho Falls ID 83401-4003. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Jeppesen, Mykell Valentina can be contacted via phone (208) 932-4493.

Contact Information

Primary practice address
685 1St St Idaho Falls ID 83401-4003
Phone: (208) 932-4493
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X CADC-5049 Idaho
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X LMSW-43873 Idaho

Profile Details

NPI number 1811762727
LBN Legal business name Jeppesen, Mykell Valentina
Credentials LMSW, CADC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 20th, 2023
Last updated Dec 5th, 2023 - about last year

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.

Request for update

Popular Providers