MEDICARE: MISS J'CINDA J'NAE BITTERS MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	M-10839	ID

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1104089556
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS J'CINDA J'NAE BITTERS MD

Provider Business Mailing Address
First Line	:	211 E LOGAN ST STE 301
Second Line	:
City	:	CALDWELL
State	:	ID
Zip	:	83605-4882
Country	:	US
Telephone Number	:	208-459-4667
Fax Number	:	208-459-3372

Provider Business Practice Location Address
First Line	:	211 E LOGAN ST STE 301
Second Line	:
City	:	CALDWELL
State	:	ID
Zip	:	83605-4882
Country	:	US
Telephone Number	:	208-459-4667
Fax Number	:	208-459-3372

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/07/2008
Last Update Date	:	01/27/2022

Similar Medicare Providers

1558007849 — LATASHA N TYLER LMSW
Practice Location Address:

211 E LOGAN ST
CALDWELL, ID
83605-4882

Practice Phone: 208-454-1480
Practice Fax:

1134227945 — WADE HARRIS MD
Practice Location Address:

211 E LOGAN ST , STE 201
CALDWELL, ID
83605-4882

Practice Phone: 208-454-0567
Practice Fax:

1063585305 — IDAHO SLEEP AND NEUROLOGY PLLC
Practice Location Address:

211 E LOGAN ST , SUITE 105
CALDWELL, ID
83605-4882

Practice Phone: 208-454-0567
Practice Fax: 208-454-0965

1235207937 — MR. BRIAN RICHARD TRUDEAU P.T.
Practice Location Address:

211 E LOGAN ST , SUITE 101
CALDWELL, ID
83605-4882

Practice Phone: 208-454-9839
Practice Fax:

1710013628 — DR. SHARON E. CARSWELL M.D.
Practice Location Address:

211 E LOGAN ST , SUITE 303
CALDWELL, ID
83605-4882

Practice Phone: 208-459-4667
Practice Fax: 208-459-3372

1154517050 — TRAVIS WILLIAM PALMER P.T.
Practice Location Address:

211 E LOGAN ST , SUITE 101
CALDWELL, ID
83605-4882

Practice Phone: 208-454-9839
Practice Fax: 208-454-0727

Directions to “ MISS J'CINDA J'NAE BITTERS MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.