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

Alice Rachel Jessup

Individual provider Physician Assistant · NPI 1023745411

Alice Rachel Jessup is a Physician Assistant in Boise, Idaho. Qualified in 2024, 2 years ago. Practices with Gem State Dermatology PA, a 6-clinician group and accepts Medicare assignment.

Years since qualifying
2
In the registry since
2022
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Practice location Address checks out

3395 E Windsong Dr
Boise, ID 83712-8595
Phone: (208) 972-6117
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1023745411
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 4, 2022
Last updated in NPPESAugust 29, 2024
Certification dateAugust 29, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Gem State Dermatology Pa — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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