Organization
CAPITAL CITY HEALTH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA AHLERS (OWNER)
(866) 316-9062
Entity
Organization
Contact information
Practice address
3295 W ELDER ST STE 209, BOISE, ID 83705-4772
(866) 316-9062
Mailing address
2742 N MCKINNEY ST, BOISE, ID 83704-6022
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
11/17/2023
Last updated
11/20/2023
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