Jennifer Jeanne Gooding N.P.-C.

NPI 1356513519 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1356513519
Gender Female
Enumeration Date 03/27/2008
Last Updated 12/05/2011
Entity Type Individual
Active Over 8 years ago
Practice Location
425 W BANNOCK ST
BOISE ID, 83702-6035, US
Phone (208) 343-1702
Fax (208) 342-7042
Business Location
425 W BANNOCK ST
BOISE ID, 83702-6035, US
Phone (208) 343-1702
Fax (208) 342-7042
Toxanomy
Taxonomy Code 363LF0000X
License State Idaho
License Number NP-860A
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According to our database, Mrs. Jennifer Jeanne Gooding N.P.-C. NPI is 1356513519, taxonomy code is 363LF0000X and license number is NP-860A, license state is located at Idaho. Jennifer Jeanne Gooding N.P.-C. physically located at 425 W Bannock St, Boise ID, 83702-6035. NPI Number Jennifer Jeanne Gooding N.P.-C. has the Individual type.

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1356513519 NPI number is provided on an as is basis without warranty of any kind. 1356513519 is maintained by the National Plan & Provider Enumeration System. The contents of Jennifer Jeanne Gooding N.P.-C. are for informational purposes only.