Individual
MR. JEREMY JAY DUANNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
2003 KOOTENAI HEALTH WAY, COEUR D ALENE, ID 83814-6051
(208) 625-4000
Mailing address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028
(509) 663-8711
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
7071364
ID
363LA2200X
Adult Health Nurse Practitioner
AP60459728
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1427347384
—
WA
Enumeration date
03/31/2011
Last updated
05/21/2025
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