# 5 PEPPERS INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** DBA Acacia Wellness Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669612271
- **Authorized official:** MRS. DEO MARIE PEPPERSACK FNP (OWNER)
- **Authorized official phone:** (208) 498-1760

## Contact information

- **Practice address:** 217 W GEORGIA AVE STE 120, NAMPA, ID 83686-6812
- **Practice address phone:** (208) 498-1760
- **Practice address fax:** (208) 498-1769
- **Mailing address:** 353 W IOWA AVE, NAMPA, ID 83686-2856
- **Mailing address phone:** (208) 498-1760
- **Mailing address fax:** (208) 498-1761

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | LMSW-27706 | ID | — |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 363LF0000X | Family Nurse Practitioner | 656A | ID | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | NP656A | ID | — |

## Other

- **Enumeration date:** 02/23/2009
- **Last updated:** 03/09/2016