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

Jordan W Merrill, MD

Individual provider Psychiatry Physician · NPI 1902197007

Jordan W Merrill, MD is a Psychiatry Physician in Eagle, Idaho. Licensed in Idaho. Registered with an NPI since 2011.

Licensed in
ID
In the registry since
2011
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

1032 S Bridgeway Pl Ste 110
Eagle, ID 83616
Phone: (208) 475-0800
Fax: (208) 639-0901
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence M-13001 (ID)

Record details

NPI number1902197007
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 22, 2011
Last updated in NPPESNovember 22, 2021
Certification dateNovember 22, 2021

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