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

Jacob Craig Stoddard, APRN-CNP

Individual provider Primary Care Nurse Practitioner · NPI 1174464929

Jacob Craig Stoddard, APRN-CNP is a Primary Care Nurse Practitioner in Idaho Falls, Idaho. Practices as a sole proprietor. Licensed in Idaho.

Licensed in
ID
In the registry since
2026

Practice location Address checks out

2455 Blue Camas Way
Idaho Falls, ID 83402-3849
Phone: (208) 242-8036
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence 5381502 (ID)

Record details

NPI number1174464929
Entity typeIndividual (Type 1)
GenderMale
Credentials APRN-CNP
Sole proprietorYes
NPI enumeratedApril 4, 2026
Last updated in NPPESApril 4, 2026
Certification dateApril 4, 2026

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