Individual
MRS. JENNIFER JEANNE GOODING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.-C.
Contact information
Practice address
3330 E LOUISE DR STE 400, MERIDIAN, ID 83642-5123
(208) 381-2721
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP-860A
ID
Other
Enumeration date
03/27/2008
Last updated
05/02/2022
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