Family Medicine
GLENN JEFFERSON 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 Plan acceptance stays unpublished until the practice reports it.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 1326121286 · enumerated 2006-10-23 · record updated 2026-06-02. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address 1720 18TH AVE, LEWISTON, ID, 83501-4047 (208) 746-4097 Fax (208) 746-2294 Google Maps Apple Maps OpenStreetMap
- Practice location 1720 18TH AVE, LEWISTON, ID, 83501-4047 (208) 746-4097 Fax (208) 746-2294 Google Maps Apple Maps OpenStreetMap
Specialties
- Family Medicine 207Q00000X · License MD00025241 WA
- Family Medicine 207Q00000X · Primary · License M4593 ID
In this directory
Locations and evidence
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Practice location
LEWISTON, ID, 835014047
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.