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Search › Idaho › 363A00000X

Jason Simpson, PA-C

NPI 1558090829 · on the registry since 2022

Practice

Address
2001 S Woodruff Ave Ste 9
Idaho Falls, ID 83404
Phone
(208) 419-3002
Fax
(208) 656-5652
Organisation at this address
Club, Inc.
Ascend Llc
Michele Osmond
Suzanne Godfrey
Neurofeedback Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
48

Registry record

Primary taxonomy
363A00000X
363A00000X
Also registered as
363A00000X
Licence states on file
UT, ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-08-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho