Individual
JESSICA MOORE ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4840 N CLOVERDALE RD, BOISE, ID 83713-2423
(208) 706-8000
(208) 706-8001
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 706-8000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
68901
ID
Other
Enumeration date
11/07/2022
Last updated
11/07/2022
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