IndividualActive
Christopher Jankowski
NPI 1265114516 · Psychiatric/Mental Health Nurse Practitioner · Ammon, ID
Provider details
- NPI number
- 1265114516
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 56107 (ID)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
2705 E 17th St
Ammon, ID 83406-6601
Phone: (208) 346-7500
Approximate (ZIP-level) locationGet directions
Mailing address
2705 E 17th St
Ammon, ID 83406-6601
Registry dates
- Enumerated
- 2023-08-07
- Last updated
- 2023-08-07
- Certified
- 2023-08-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.