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Individual

JENNIFER KIENLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, AG-ACNP

Contact information

Practice address
1075 N CURTIS RD, SUITE 250, BOISE, ID 83706-1300
(208) 367-8333
Mailing address
27 PINE RIDGE RD, BOISE, ID 83716-3109
(208) 343-2745

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
NP-1669A
ID

Other

Enumeration date
12/14/2015
Last updated
12/14/2015
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