Individual
JILLIAN ALEXA RIPPEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
600 E STATE ST STE 200, EAGLE, ID 83616-6082
(208) 865-6401
(208) 217-9213
Mailing address
600 E STATE ST STE 200, EAGLE, ID 83616-6082
(208) 856-6401
(208) 217-9213
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71512
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
71512
LICENSE
ID
01
—
AP60750903
STATE LICENSE
WA
Enumeration date
06/02/2017
Last updated
12/29/2025
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