MEDICARE: JAMIE LYNN JOLLIFFE ATC

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	2255A2300X	Athletic Trainer	AT-503	ID

General Provider Information

NPI Number	:	1740614437
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMIE LYNN JOLLIFFE ATC

Provider Business Mailing Address
First Line	:	2792 S LAKE VISTA LN
Second Line	:
City	:	EAGLE
State	:	ID
Zip	:	83616-5421
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2112 CLEVELAND BLVD
Second Line	:	ATHLETICS
City	:	CALDWELL
State	:	ID
Zip	:	83605-4432
Country	:	US
Telephone Number	:	208-459-5052
Fax Number	:

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

Provider Enumeration Date	:	08/29/2013
Last Update Date	:	08/07/2014

Similar Medicare Providers

1144377854 — MS. JULENE DILLEHAY LCPC
Practice Location Address:

2112 CLEVELAND BLVD
CALDWELL, ID
83605-4432

Practice Phone: 208-459-5066
Practice Fax:

1730217225 — LINDA I GIBBENS ATC, LAT
Practice Location Address:

2112 CLEVELAND BLVD
CALDWELL, ID
83605-4432

Practice Phone: 208-459-5873
Practice Fax: 208-459-5854

1144913252 — CORE DYNAMICS LLC
Practice Location Address:

615 ROYAL ST
CALDWELL, ID
83605-1663

Practice Phone: 208-501-6361
Practice Fax:

1386379873 — ANAI BELL
Practice Location Address:

211 E LOGAN ST STE 201
CALDWELL, ID
83605-4883

Practice Phone: 208-454-1480
Practice Fax: 208-268-8444

1366305609 — FAMILY EYE CARE SPECIALISTS PLLC
Practice Location Address:

1906 FAIRVIEW AVE STE 100
CALDWELL, ID
83605-5433

Practice Phone: 208-459-2020
Practice Fax: 208-459-2034

1538164108 — DR. CAMILLE ELIZABETH HARRIS DPM
Practice Location Address:

1105 E USTICK RD
CALDWELL, ID
83605

Practice Phone: 208-463-7732
Practice Fax: 541-889-4736

Directions to “ JAMIE LYNN JOLLIFFE ATC” 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 © 2007-2025 (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.