Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Prism Family Medicine LLC

Organization Family Medicine Physician · NPI 1942028592

Prism Family Medicine LLC is a Family Medicine Physician in Pocatello, Idaho. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1950 E Clark St Ste 100
Pocatello, ID 83201-3315
Phone: (208) 806-4581
Fax: (208) 837-3010
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1942028592
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jessica Rolynn — Owner · (208) 806-4581
NPI enumeratedOctober 2, 2024
Last updated in NPPESOctober 3, 2024
Certification dateOctober 3, 2024
Mailing address1950 E Clark St Ste 100, Pocatello, ID 83201-3315

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