Individual
JENNI LEE BORG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
167 E 1ST S, RIGBY, ID 83442-1401
(208) 745-8747
Mailing address
4314 E 265 N, RIGBY, ID 83442-5148
(208) 403-1318
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71710
ID
Other
Enumeration date
02/15/2022
Last updated
02/15/2022
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