Search › Idaho › 363A00000X
Jacqueline Barajas, PA-C
NPI 1821697590 · on the registry since 2020 · sole proprietor
Practice
- Address
- 701 E Parkcenter Blvd
Boise, ID 83706 - Phone
- (208) 381-6500
- Fax
- (208) 381-6505
- Organisation at this address
- St Lukes Regional Medical Center
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 40
Additional practice sites
- 2211 Lomas Blvd Ne, Albuquerque, NM
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363A00000X
363A00000X
363AM0700X - Licence states on file
- NM, ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-04-26
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