Individual
JESSICA JEANNE KEYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-2222
Mailing address
8003 W HUMMEL DR, BOISE, ID 83709-1754
(208) 908-9546
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
53225
ID
Other
Enumeration date
06/20/2025
Last updated
06/20/2025
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