ALYSSA JACK, PA-C

Physician Assistant

Active Individual
NPI: 1598357436

Practice Address

535 W SUNNYSIDE RD STE 2
Idaho Falls, ID 83402

Phone: (208) 357-9700

Specialties

Specialty Code Primary License
Physician Assistant 363A00000X Yes PA-1966 (ID)

Frequently Asked Questions

NPI 1598357436 is the National Provider Identifier for ALYSSA JACK, PA-C, a Physician Assistant provider located in Idaho Falls, ID. This NPI was enumerated on February 10, 2021.
ALYSSA JACK, PA-C practices at 535 W SUNNYSIDE RD STE 2, Idaho Falls, ID 83402.

Quick Facts

NPI
1598357436
Type
Individual
Enumerated
Feb 10, 2021
Last Updated
Jun 17, 2025

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