IndividualActive
Jdee Wilson, MD
NPI 1598828816 · Psychiatry Physician · Blackfoot, ID
Provider details
- NPI number
- 1598828816
- Entity type
- Individual
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- M9137 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
700 E Alice St
State Hospital South
Blackfoot, ID 83221
Phone: (208) 785-1200
Fax: (208) 785-8516
Approximate (ZIP-level) locationGet directions
Mailing address
700 E Alice St
Blackfoot, ID 83221
Registry dates
- Enumerated
- 2006-12-18
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.