Individual
JENNY MARIE PINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4553 E TIMBERSAW DR, BOISE, ID 83716-7098
(601) 880-9571
Mailing address
4553 E TIMBERSAW DR, BOISE, ID 83716-7098
(601) 880-9571
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APN 001404
NV
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
66608
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1407102056
NPI NUMBER
—
Enumeration date
08/01/2012
Last updated
01/20/2023
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