# EVERMAN FAMILY MEDICINE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316744998
- **Authorized official:** MRS. JESSICA MICHELLE EVERMAN FNP (OWNER)
- **Authorized official phone:** (208) 830-3156

## Contact information

- **Practice address:** 4771 N SUMMIT WAY STE 110, MERIDIAN, ID 83646-5017
- **Practice address phone:** (208) 830-3156
- **Mailing address:** 484 E LOCKHART LN, MERIDIAN, ID 83646-6580
- **Mailing address phone:** (208) 830-3156

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/28/2025
- **Last updated:** 02/28/2025