Individual
JENNIFER JOY QUESNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
775 POLE LINE RD W STE 105, TWIN FALLS, ID 83301-5819
(208) 814-8000
Mailing address
3606 E 3892 N, KIMBERLY, ID 83341-5150
(208) 420-8272
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
59450
ID
Other
Enumeration date
10/20/2018
Last updated
12/14/2018
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