Individual
MRS. JESSICA MICHELLE EVERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1660 S WOODSAGE AVE BLDG A, MERIDIAN, ID 83642-7670
(801) 664-1013
Mailing address
2836 S JIOVANNI PL, MERIDIAN, ID 83642-7945
(801) 664-1013
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F12200061
ID
Other
Enumeration date
12/18/2020
Last updated
12/18/2020
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