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Individual

JENNY MAY BALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
6291 W POCATELLO CREEK RD, POCATELLO, ID 83201-9002
(208) 589-9832
Mailing address
6291 W POCATELLO CREEK RD, POCATELLO, ID 83201-9002
(208) 589-9832

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F06241866
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
F062418766
THE AMERICAN ACADEMY OF NURSE PRACTITIONERS
Enumeration date
07/23/2024
Last updated
07/23/2024
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