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Individual

JOYCELYN JONES REILAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
2273 E GALA ST STE 100, MERIDIAN, ID 83642-7289
(208) 898-8999
Mailing address
2273 E GALA ST STE 100, MERIDIAN, ID 83642-7289
(208) 898-8999

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP668A
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000010157503
BLUE SHIELD
ID
01
NPYAO
BLUE CROSS
ID
Enumeration date
11/17/2006
Last updated
07/08/2007
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