Individual
MRS. JEANNIE ANNE ARCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP
Contact information
Practice address
1421 CLEVELAND BLVD, CALDWELL, ID 83605-3861
(208) 409-8966
Mailing address
1421 CLEVELAND BLVD, CALDWELL, ID 83605-3861
(208) 409-8966
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
55871
ID
Other
Enumeration date
06/21/2017
Last updated
07/21/2022
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