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

Jade Dardine, MD

Individual provider Family Medicine Physician · NPI 1720493638

Jade Dardine, MD is a Family Practice in Ponderay, Idaho. Graduated from University of California, San Francisco School of Medicine in 2011, 15 years ago. Practices with Bonner General Hospital Inc, a 48-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
15
Trained at
University of California, San Francisco School of Medicine
Licensed in
ID
In the registry since
2014
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

30410 Highway 200
Ponderay, ID 83852-9601
Phone: (208) 263-7101
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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 · Licence M-13138 (ID)

Record details

NPI number1720493638
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 30, 2014
Last updated in NPPESDecember 27, 2017
Mailing address30410 Highway 200, Ponderay, ID 83852-9601

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF CALIFORNIA, SAN FRANCISCO SCHOOL OF MEDICINE
Graduated 2011 (15 years in practice)
Group practice Bonner General Hospital Inc — 48 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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