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

Dr. Jackie J Whitesell, MD

Individual provider Neurology Physician · NPI 1346367984

Dr. Jackie J Whitesell, MD is a Neurology in Boise, Idaho. Graduated from Indiana University School of Medicine in 2004, 22 years ago. Practices with Saint Alphonsus Regional Medical Center Inc, a 673-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Idaho.

Years since qualifying
22
Trained at
Indiana University School of Medicine
Licensed in
ID
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1072 N Liberty St Ste 303
Boise, ID 83704-2800
Phone: (208) 367-2800
Fax: (208) 367-7111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence M-11022 (ID)

Record details

NPI number1346367984
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 26, 2007
Last updated in NPPESApril 23, 2014

Medicare enrollment

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

Medicare specialtyNEUROLOGY
Medical schoolINDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduated 2004 (22 years in practice)
Group practice Saint Alphonsus Regional Medical Center Inc — 673 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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