Organization
TRANSFORMATIVE JOURNEY HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE SMITH FNP-C, DIPACLM (OWNER)
(208) 701-2777
Entity
Organization
Contact information
Practice address
749 OXFORD DR, IDAHO FALLS, ID 83401-4203
(208) 701-2777
Mailing address
749 OXFORD DR, IDAHO FALLS, ID 83401-4203
(208) 701-2777
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/03/2024
Last updated
07/03/2024
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