OrganizationActive
Jan Deblieck MD PA
NPI 1497960983 · Dermatology Physician · Boise, ID
Provider details
- NPI number
- 1497960983
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jennifer Deblieck, Physician-Owner(208) 939-5030
- License
- M7045 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
13176 W Persimmon Ln
Boise, ID 83713-1986
Phone: (208) 939-5030
Fax: (208) 939-1892
Approximate (ZIP-level) locationGet directions
Mailing address
13176 W Persimmon Ln
Boise, ID 83713-1986
Other names (DBA / former)
- Doing business as
- Deblieck Dermatology
Registry dates
- Enumerated
- 2007-05-10
- Last updated
- 2007-07-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.