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Organization
MARK A JEPSON PLLC
Active
Organization
MARK A JEPSON PLLC
Active
Other names
Mark Alan Jepson
Organization subpart
No
Provider details
NPI number
Authorized official
MARK ALAN JEPSON NP (OWNER)
(208) 391-1043
Entity
Organization
Contact information
Practice address
413 N ALLUMBAUGH ST, STE. 101, BOISE, ID 83704-9212
(208) 323-1125
(208) 323-9604
Mailing address
413 N ALLUMBAUGH ST, STE. 101, BOISE, ID 83704-9212
(208) 323-1125
(208) 323-9604
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
NP-902A
ID
Other
Enumeration date
08/01/2014
Last updated
02/03/2015
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