Individual
WHITNEY L JERRED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1090 W PARK PL, COEUR D ALENE, ID 83814-2785
(208) 620-5250
(208) 667-2638
Mailing address
1090 W PARK PL, COEUR D ALENE, ID 83814-2785
(208) 620-5250
(208) 667-2638
Taxonomy
Speciality
Code
Description
License number
State
163WI0500X
Infusion Therapy Registered Nurse
43944
ID
363LP2300X
Primary Care Nurse Practitioner
Primary
8781716
ID
Other
Enumeration date
06/08/2026
Last updated
06/19/2026
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