Individual
MRS. SUZANNE JARDINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
1648 NW 1ST STREET, MERIDIAN, ID 83642-2720
(208) 888-9393
Mailing address
PO BOX 191050, BOISE, ID 83719-1050
(208) 985-1399
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
53808
ID
Other
Enumeration date
08/08/2016
Last updated
01/27/2017
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