Individual
NICHOLE ANN JEPPESEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
10 MADISON PROFESSIONAL PARK, REXBURG, ID 83440-2058
(208) 656-9467
(208) 656-9466
Mailing address
10 MADISON PROFESSIONAL PARK, REXBURG, ID 83440-2058
(208) 656-9467
(208) 656-9467
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
NP-865
ID
363LF0000X
Family Nurse Practitioner
Primary
NP-865A
ID
Other
Enumeration date
06/17/2008
Last updated
11/03/2021
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