Individual
JENNAVERE RENAE BALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
215 E HAWAII AVE STE 170, NAMPA, ID 83686-6011
(208) 302-6000
(208) 302-5455
Mailing address
PO BOX 190930, BOISE, ID 83719-0930
(208) 302-6000
(208) 302-5455
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4571487
ID
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
08/14/2023
Last updated
05/04/2026
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