Individual
MARK A JEPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
2650 S EAGLE RD STE 100, MERIDIAN, ID 83642-6733
(986) 200-4290
(986) 200-4291
Mailing address
2650 S EAGLE RD STE 100, MERIDIAN, ID 83642-6733
(986) 200-4290
(986) 200-4291
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
NP-902A
ID
Other
Enumeration date
04/08/2009
Last updated
01/22/2022
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