IndividualActive
Jessica Bailey, PA
NPI 1588909261 · Surgical Physician Assistant · Pocatello, ID
Provider details
- NPI number
- 1588909261
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Female
- Sole proprietor
- Yes
- License
- PA-1033 (ID)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
333 N 18th Ave
Suite #b
Pocatello, ID 83201-3358
Phone: (208) 232-2146
Fax: (208) 232-2770
Approximate (ZIP-level) locationGet directions
Mailing address
333 N. 18th Avenue
Pocatello, ID 83201
Registry dates
- Enumerated
- 2012-12-06
- Last updated
- 2023-09-14
- Certified
- 2023-09-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.