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Individual

JESSICA BRUCE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
300 E JEFFERSON ST, BOISE, ID 83712-6246
(208) 381-4100
Mailing address
300 E JEFFERSON ST, BOISE, ID 83712-6246
(208) 381-4100

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP-1386A
ID
363LA2200X
Adult Health Nurse Practitioner
NP-1386A
ID
363LG0600X
Gerontology Nurse Practitioner
NP-1386A
ID
363LP2300X
Primary Care Nurse Practitioner
NP-1386A
ID

Other

Enumeration date
08/23/2007
Last updated
09/11/2016
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