Most Relevant Information
Provider Data
| NPI Number: | 1003426701 |
| Provider Name: | JESS LUFKIN CRNA |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | RN9493739 |
Most Important Dates
| Enumeration Date: | 08/06/2020 |
| Last Updated: | 02/17/2022 |
Provider Practice Location
777 HOSPITAL WAY
POCATELLO
ID
832015175
Practice Location Phone/Fax
| Phone: | 2087167215 |
| Fax: |
Provider Mailing Location
1891 KINGHORN RD
POCATELLO
ID
832014996
Provider Mailing Phone/Fax
| Phone: | 2088215563 |
| Fax: |