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Contact Information

LEAH JACKSON, ARNP
1055 N CURTIS RD
BOISE, ID83706-1309
 Phone: 208-367-7350
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gerontology

363LG0600X 50 Nurse Practitioner
 

Acute Care

363LA2100X 50 Nurse Practitioner
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for LEAH JACKSON · (Female)

NPI Number 1730692989
Status Active
Credentials ARNP (Advanced Registered Nurse Practitioner)
Entity Individual
Enumeration date 11/09/2017
Last updated 10/13/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • ID License # 72172
  • WA License # AP61051873
  • WA License # RN00155803
  • WA Medicaid AP61051873
Hospital affiliation(s)
  • KADLEC REGIONAL MEDICAL CENTER - (Acute Care)
    888 SWIFT BLVD
    RICHLAND, WA 99352
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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