Individual
JENNIFER ESTELLE BERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16300 N MARKETPLACE BLVD, NAMPA, ID 83687-7910
(208) 800-6542
Mailing address
1079 E RIVERSONG DR, EAGLE, ID 83616-5570
(208) 409-3000
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/20/2026
Last updated
04/20/2026
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