Family Medicine
DEREK JACKSON MD
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1225299357 · enumerated 2008-06-20 · record updated 2014-08-04. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address 777 N RAYMOND ST, BOISE, ID, 83704-9251 (208) 367-6030 Fax (208) 322-7018 Google Maps Apple Maps OpenStreetMap
- Practice location 777 N RAYMOND ST, BOISE, ID, 83704-9251 (208) 367-6030 Fax (208) 322-7018 Google Maps Apple Maps OpenStreetMap
Specialties
- Family Medicine 207Q00000X · License MR-0989 ID
- Family Medicine 207Q00000X · Primary · License M-10857 ID
In this directory
Locations and evidence
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Practice location
BOISE, ID, 837049251
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.