MS. JENNA LYNN MAFFEY


Address: 11197 W Fairview Ave, Boise, ID 83713-7935
Phone: 2083788011

MS. JENNA LYNN MAFFEY (NPI# 1467787598) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1467787598
Entity Type Individual
Full Name MS. JENNA LYNN MAFFEY
Credential M.M.S; PA-C
Practice Address 11197 W Fairview Ave
Boise
ID 83713-7935
Mailing Address Po Box 191050
Boise
ID 83719-1050
Practice Telephone 2083788011
Practice Fax Number 2083228095
Mailing Telephone 2089556522
Mailing Fax Number 2089556503
Enumeration Date 2009-10-07
Last Update Date 2014-01-21
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363A00000X Physician Assistant 60112494 WA Physician Assistants & Advanced Practice Nursing Providers
Y 363AM0700X Physician Assistant
Specialization: Medical
PA-929 ID Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 11197 W FAIRVIEW AVE
City BOISE
State ID
Zip Code 83713-7935

Providers in the same location

NPI Name Taxonomy Address Enumeration
1053385054 Phillip Brian Whittenberg Physician Assistant 11197 W Fairview Ave, Boise, ID 83713-7935 2006-02-15
1073083440 Alishia Little Physician Assistant 11197 W Fairview Ave, Boise, ID 83713-7935 2018-11-28
1821529918 Jonathan Subaitani Emergency Medicine 11197 W Fairview Ave, Boise, ID 83713 2017-03-21
1558735514 Samuel Shinkle Physician Assistant 11197 W Fairview Ave, Boise, ID 83713-7935 2015-11-13
1538505276 Abby M. Luensmann Family Medicine 11197 W Fairview Ave, Boise, ID 83713-7935 2013-05-21
1316183601 Alliance Medical Group, LLC Family Medicine 11197 W Fairview Ave, Boise, ID 83713-7935 2008-12-17
1942219233 Larry Michael Oborn Physician Assistant 11197 W Fairview Ave, Boise, ID 83713-7935 2006-08-05
1386664654 Ryan A Moore Family Medicine 11197 W Fairview Ave, Boise, ID 83713-7935 2006-07-20
1215972831 Jennifer M Vincent Family Medicine 11197 W Fairview Ave, Boise, ID 83713-7935 2006-06-18

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1265902332 Kidscare Home Health of Idaho, LLC Home Health 1835 Wildwood Street, Boise, ID 83713 2018-11-30
1417463928 Kimberly Ann Bohrer Behavioral Analyst 12053 W Hickory Dr, Boise, ID 83713 2017-12-19
1407371891 Emir Hadzic Optometrist 13239 W. Fernleaf St., Boise, ID 83713 2017-08-07
1518336650 Alliance Physical Medicine Nurse Practitioner 13909 W Wainwright Drive, Boise, ID 83713 2015-09-18
1083038335 Jan L Rehder Nurse Practitioner 13150 W Persimmon Lane, Boise, ID 83713 2014-02-06
1508287061 Heather N Fox Physician Assistant 12273 West Mcmillan Road, Boise, ID 83713 2013-12-30
1659667459 Jayson Clark Dentist 4274 N Eagle Road, Boise, ID 83713 2011-06-21
1043503659 Steven Anthony Eckhoff Physician Assistant 11662 W Arlen St, Boise, ID 83713 2011-05-16
1790923621 Christie Dudash Flynn Physician Assistant 12273 W Mcmillian Road, Boise, ID 83713 2009-01-30
1699930404 Dennis J. Garpetti, Dds, P.C. Dentist 13108 West Persimmon Lane, Boise, ID 83713 2008-07-21
Find all providers in zip 83713

Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1073915963 Jessica Bishop Physician Assistant 1499 W Hays St, Boise, ID 83702-5029 2014-09-23
1508287061 Heather N Fox Physician Assistant 12273 West Mcmillan Road, Boise, ID 83713 2013-12-30
1710231238 Alaina A Mccoy Physician Assistant 100 E. Idaho St., Suite 400, Boise, ID 83712 2012-11-06
1447534821 Addie Barnes Physician Assistant 900 N Liberty, Ste 101, Boise, ID 83704 2011-10-04
1134358104 Eric Culbertson Physician Assistant 633n 4th St, Boise, ID 83702-4510 2009-07-10
1790923621 Christie Dudash Flynn Physician Assistant 12273 W Mcmillian Road, Boise, ID 83713 2009-01-30
1598921595 Karen B. Barrett Physician Assistant 6000 W. Overland Road, Firstline Medical, Boise, ID 83704 2008-07-30
1972672111 Kara Mcgee Physician Assistant 727 E Riverpark Ln Ste 200, Boise, ID 83706-4097 2006-11-06
1265464036 Sharene E Watsen Physician Assistant 403 South 11th St, Ste 100, Boise, ID 83702-6906 2006-07-06
1508802091 Heidi R Munro Physician Assistant 8000 S Federal Way, Boise, ID 83716-9632 2006-06-22
Find all providers in BOISE

Competitor

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City BOISE
Zip Code 83713

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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