PAUL CODY JAMESON

POCATELLO, ID
NPI1982271904
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: ID  68528)
Enumeration Date2021-06-08
Last Update Date2021-08-04
Business Address
PAUL CODY JAMESON PMHNP-BC
444 HOSPITAL WAY STE 477
POCATELLO, ID 83201-2744
Phone number: 208-233-7832
Mailing Address
PAUL CODY JAMESON PMHNP-BC
PO BOX 4908
POCATELLO, ID 83205-4908
Phone number: 208-233-7832
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