Individual
MRS. JENNIFER LYNN MCINTYRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
2176 E FRANKLIN RD STE 100, MERIDIAN, ID 83642-8009
(951) 970-5773
Mailing address
13248 W SCOTFIELD ST, BOISE, ID 83713-1902
(208) 789-3625
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
58584
ID
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
58584
ID
Other
Enumeration date
03/07/2023
Last updated
05/08/2024
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