P Praxis·MD
● Active Type 1 · Individual

DR. Jackie J Whitesell, MD

Psychiatry & Neurology·Boise, ID· NPI 1346367984 · Enumerated 2007 · 19 years on NPI
Whitesell is 1 of 29 psychiatry & neurology providers in Boise and 1 of 85 in Idaho.
NPI age
19 years
Enumerated 2007-03-26
Primary specialty
Psychiatry & Neurology
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2014-04-23
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 85 active psychiatry & neurology providers in Idaho.

NPI age
19 years
≈ at median (18 yr)
State licenses
1 state
30% of peers hold multiple states
Subspecialties
0
41% of peers hold subspecialties

NPI lifetime · 2007 → 2026

2007-03Enumerated in NPPES
2007 2026

Where they practice

Practice location
1072 N Liberty St, Suite 303
Boise, ID 837042800
📞 2083672800fax 2083677111
Mailing address
3340 E Goldstone Way
Meridian, ID 836421026
📞 2083675170fax 2083675180

Specialties

  • Psychiatry & Neurology Primary
    A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
    ID license #M-11022 taxonomy 2084N0400X

Practice context

Part of a multi-provider practice. 31 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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