FNP ANCC Jessica Dance, NPI 1538763909
Family Nurse Practitioner in Blackfoot, IDAHO, UM

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1538763909
NPI Entity Type Individual
Provider Name FNP ANCC Jessica Dance
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 659 W 45 S, Blackfoot, IDAHO, UM
Provider Mailing Address 98 Poplar St, Blackfoot, ID, US, 832211758
Gender Female
Is Sole Proprietor? Yes
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Primary Taxonomy

Taxonomy Code

363LF0000X

Taxonomy Name Family Nurse Practitioner
Classification

Nurse Practitioner

Group

Physician Assistants & Advanced Practice Nursing Providers

License No. 66415
License State ID
Description Definition to come...

Business Address

FNP ANCC Jessica Dance
659 W 45 S

Blackfoot, IDAHO, UM

Phone: 208-681-7501

Mailing Address

FNP ANCC Jessica Dance
98 Poplar St
Blackfoot, ID, US
ZIP 832211758

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

363LF0000X

Physician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner

66515 ID No

Other Providers in IDAHO, UM

NPI Name Taxonomy Address

1538763909

FNP ANCC Jessica Dance

Individual

Family Nurse Practitioner

659 W 45 S

Blackfoot, IDAHO

1417936105

MS. M.S Suzanne J Poulson

Individual

Genetic Counselor (M.S.)

100 E. Idaho Street

Boise, IDAHO

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