IndividualActive
Jackie Whitesell, MD
NPI 1346367984 · Neurology Physician · Boise, ID
Provider details
- NPI number
- 1346367984
- Entity type
- Individual
- Primary specialty
- Neurology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- M-11022 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1072 N Liberty St
Suite 303
Boise, ID 83704-2800
Phone: (208) 367-2800
Fax: (208) 367-7111
Approximate (ZIP-level) locationGet directions
Mailing address
3340 E Goldstone Way
Meridian, ID 83642-1026
Registry dates
- Enumerated
- 2007-03-26
- Last updated
- 2014-04-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.