Individual
J'LENE WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2001 S WOODRUFF AVE STE 15B, IDAHO FALLS, ID 83404-6372
(208) 357-4633
Mailing address
3530 TAYLORVIEW LN, AMMON, ID 83406-7504
(208) 221-9014
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
61108
ID
Other
Enumeration date
10/28/2019
Last updated
10/28/2019
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