Individual
MR. JEREMY LEE HURST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN, MSN, NP-C
Contact information
Practice address
2321 E GALA ST STE 3, MERIDIAN, ID 83642-7692
(208) 888-5848
Mailing address
2491 N TWEEDBROOK AVE, MERIDIAN, ID 83646-5351
(775) 625-0386
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
23474-A
ID
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
NP-1114A
ID
Other
Enumeration date
09/20/2011
Last updated
06/07/2025
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