Duvall, Jessica Lea
Duvall, Jessica Lea is an individual health care provider with primary practice located at 325 W Idaho St , Boise ID 83702-6040. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Duvall, Jessica Lea can be contacted via phone (208) 514-2525.Contact Information
Primary practice address
325 W Idaho St
Boise ID 83702-6040
Phone: (208) 514-2525
Fax: (208) 375-2217
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | A123788 | California |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | M14600 | Idaho |
Profile Details
| NPI number | 1477843928 |
|---|---|
| LBN Legal business name | Duvall, Jessica Lea |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 17th, 2011 |
| Last updated | Apr 5th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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