Individual
JAMIE WATTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6565 W EMERALD ST, BOISE, ID 83704-8737
(208) 514-2510
(208) 375-2217
Mailing address
777 N RAYMOND ST, BOISE, ID 83704-9251
(208) 514-2500
(208) 375-2217
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP61605194
WA
363LF0000X
Family Nurse Practitioner
Primary
58846
ID
363LF0000X
Family Nurse Practitioner
AP61605194
WA
Other
Enumeration date
01/23/2020
Last updated
02/05/2025
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