Individual
RENEE JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 W FORT ST, BOISE, ID 83702-4501
(208) 422-1000
Mailing address
5053 W VICTORY RD, NAMPA, ID 83687-9296
(208) 921-5731
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
23168
ID
163WM0705X
Medical-Surgical Registered Nurse
23168
ID
Other
Enumeration date
08/13/2022
Last updated
08/13/2022
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