Individual
JEANNA PADILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
7600 N MINERAL DR STE 110, COEUR D ALENE, ID 83815-7763
(208) 619-8250
(208) 981-9201
Mailing address
1593 E POLSTON AVE, POST FALLS, ID 83854-5326
(208) 262-2300
(208) 262-2390
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
61048
ID
Other
Enumeration date
01/12/2016
Last updated
01/05/2026
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