Individual
NICOLE JAEGGLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
510 N 2ND ST STE 201, BOISE, ID 83702-6078
(516) 269-2551
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
6171068
ID
Other
Enumeration date
06/03/2025
Last updated
06/06/2025
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