Individual
JESSICA ROSE MCQUEARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3520 E LOUISE DR, MERIDIAN, ID 83642-6304
(208) 888-0909
(208) 888-5825
Mailing address
3520 E LOUISE DR, MERIDIAN, ID 83642-6304
(208) 888-0909
(208) 888-5825
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
49181
ID
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
62505
ID
Other
Enumeration date
05/07/2019
Last updated
05/19/2026
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