Individual
JAN REHDER KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2867 E COPPER POINT DR, MERIDIAN, ID 83642-1716
(208) 401-9100
(208) 401-9150
Mailing address
5333 N BROOKMEADOW WAY, BOISE, ID 83713-1480
(208) 866-5333
(769) 206-4683
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP-1404A
ID
Other
Enumeration date
02/06/2014
Last updated
12/18/2023
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