Individual
JAMIE LOU BAXTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5108 N MAIDSTONE WAY, BOISE, ID 83713-1367
(208) 577-8672
(208) 209-6058
Mailing address
10503 W K BAR T DR, BOISE, ID 83709-2449
(503) 407-2693
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
54678
ID
Other
Enumeration date
10/26/2022
Last updated
10/26/2022
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