HomeNPI Verification

NPI Verification

National Provider Identifier: 1306862388

Jennifer Backman, DO

Individual Provider

Credentials

Primary Specialty

Family Medicine

Code: 207Q00000X

All Specialties (2)

Family Medicine

Code: 207Q00000X

Family Medicine

Code: 207Q00000X

Primary

Practice Address

25 JACOBS GULCH RD

KELLOGG, ID 838372023

Phone: 208-784-1221

NPI Enumeration Date

July 14, 2006

NPI Number

1306862388

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry