Physician Assistant
Mrs. JACLYN MENTZER P.A.
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 Plan acceptance stays unpublished until the practice reports it.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 1487899365 · enumerated 2008-12-08 · record updated 2020-01-27. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address 388 E. PARKCENTER BLVD. GEM STATE DERMATOLOGY, BOISE, ID, 83706 (208) 424-9101 Fax (208) 424-5072 Google Maps Apple Maps OpenStreetMap
- Practice location 388 E. PARKCENTER BLVD. GEM STATE DERMATOLOGY, BOISE, ID, 83706 (208) 424-9101 Fax (208) 424-5072 Google Maps Apple Maps OpenStreetMap
Specialties
- Dermatology 207N00000X · License M7247 ID
- Physician Assistant 363A00000X · License PA773 ID
- Physician Assistant 363A00000X · Primary · License PA-773 ID
In this directory
Locations and evidence
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Practice location
BOISE, ID, 83706
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.