Healthcare Provider Details

I. General information

NPI: 1780514638
Provider Name (Legal Business Name): JAYCEE REES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/21/2026
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1009 W SANETTA ST
NAMPA ID
83651-5047
US

IV. Provider business mailing address

1009 W SANETTA ST
NAMPA ID
83651-5047
US

V. Phone/Fax

Practice location:
  • Phone: 208-576-6464
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberLMSW7281117
License Number StateID

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: