Individual
MS. JENNA LYNN ROVIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
777 N RAYMOND ST, BOISE, ID 83704-9251
(208) 514-2500
(208) 375-2217
Mailing address
777 N RAYMOND ST, BOISE, ID 83704-9251
(208) 514-2500
(208) 375-2217
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP-1173A
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1427312347
—
ID
Enumeration date
06/25/2012
Last updated
10/03/2013
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