Smith, Jayson Paul
Smith, Jayson Paul is an sole proprietor health care provider with primary practice located at 4971 W Overland Rd , Boise ID 83705-2822. He recently has 4 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Smith, Jayson Paul can be contacted via phone (208) 472-5050.Contact Information
Primary practice address
4971 W Overland Rd
Boise ID 83705-2822
Phone: (208) 472-5050
Fax: (208) 472-5051
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Neonatal | 363LN0000X | 65851 | Idaho |
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 65851 | Idaho |
Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | 65851 | Idaho |
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 65851 | Idaho |
Profile Details
NPI number | 1982202743 |
---|---|
LBN Legal business name | Smith, Jayson Paul |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 14th, 2020 |
Last updated | Sep 2nd, 2022 - about 3 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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