IndividualActive
Jennifer Deblieck, MD
NPI 1861421240 · Dermatology Physician · Boise, ID
Provider details
- NPI number
- 1861421240
- Entity type
- Individual
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- M7045 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
13176 W Persimmon Ln
Boise, ID 83713-1986
Phone: (208) 939-5030
Approximate (ZIP-level) locationGet directions
Mailing address
5137 N Leather Pl
Boise, ID 83713-1865
Registry dates
- Enumerated
- 2006-06-30
- Last updated
- 2010-08-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.