| Summit Longevity & Aesthetics PLLC | |
|
3991 E 400 N Bldg 500a Rigby ID 83442 | |
| (208) 851-0049 | |
| Not Available |
| Full Name | Summit Longevity & Aesthetics PLLC |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 3991 E 400 N, Rigby, Idaho |
| Authorized Official Name and Position | Jessica Heddinger (OWNER/ FAMILY NURSE PRACTITIONER) |
| Authorized Official Contact | 2088510049 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Summit Longevity & Aesthetics PLLC Po Box 644 Rigby ID 83442-0644 Ph: (208) 851-0049 | Summit Longevity & Aesthetics PLLC 3991 E 400 N Bldg 500a Rigby ID 83442 Ph: (208) 851-0049 |
| NPI Number | 1336047679 |
|---|---|
| Provider Enumeration Date | 10/27/2026 |
| Last Update Date | 10/27/2026 |
| Certification Date | 10/23/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336047679 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | () | Primary |
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