Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Prism Family Medicine LLC

Organization Family Medicine Physician · NPI 1942028592

Prism Family Medicine LLC provides Family Medicine Physician services in Pocatello, Idaho. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1950 E Clark St Ste 100
Pocatello, ID 83201-3315
Phone: (208) 806-4581
Fax: (208) 837-3010
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1942028592
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jessica Rolynn — Owner · (208) 806-4581
NPI enumeratedOctober 2, 2024
Last updated in NPPESOctober 3, 2024
Certification dateOctober 3, 2024
Mailing address1950 E Clark St Ste 100, Pocatello, ID 83201-3315

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