IndividualActive
Jacquelyn Wheatley
NPI 1669067419 · Personal Care Attendant · Pocatello, ID
Provider details
- NPI number
- 1669067419
- Entity type
- Individual
- Primary specialty
- Personal Care AttendantNursing Service Related Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Nursing Service Related Providers
- Homemaker376J00000X
Nursing Service Related Providers
Practice location
808 N 8th Ave
Pocatello, ID 83201-5718
Phone: (208) 235-6565
Fax: (208) 235-7264
Approximate (ZIP-level) locationGet directions
Mailing address
88 Cedar Hills Dr
Pocatello, ID 83204-4400
Registry dates
- Enumerated
- 2021-03-03
- Last updated
- 2021-03-03
- Certified
- 2021-03-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.