Individual
MS. JAYNE S SHODA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, FNP-C
Contact information
Practice address
1983 E LOOKOUT DR, COEUR D ALENE, ID 83815-7046
(208) 964-0701
Mailing address
915 W. EMMA AVE, COEUR D ALENE, ID 83814
(208) 964-0701
(818) 365-4031
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP956A
ID
Other
Enumeration date
08/03/2005
Last updated
07/07/2024
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