Organization
ACTIVE FAMILY HEALTHCARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER FLETCHER NP (OWNER NURSE PRACTIONER)
(208) 758-0560
Entity
Organization
Contact information
Practice address
919 W CANFIELD AVE, COEUR D ALENE, ID 83815-9764
(208) 758-0560
(208) 762-5424
Mailing address
919 W CANFIELD AVE, COEUR D ALENE, ID 83815-9764
(208) 758-0560
(208) 762-5424
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/09/2012
Last updated
03/03/2025
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