Organization
HEALING SENSE CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JANE N YOUNG CRNP (NURSE PRACTITIONER)
(208) 377-5166
Entity
Organization
Contact information
Practice address
1075 N CURTIS RD, STE 100, BOISE, ID 83706-1300
(208) 377-5166
(208) 375-0599
Mailing address
1075 N CURTIS RD, STE 100, BOISE, ID 83706-1300
(208) 377-5166
(208) 375-0599
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010006427
BLUE SHIELD
ID
01
—
C188
BLUE CROSS & TRUE BLUE
ID
05
—
MAVIS 1075
—
ID
Enumeration date
10/06/2005
Last updated
06/29/2018
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