Individual
DR. DAWN ARIEL JENNINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
402 6TH ST, RUPERT, ID 83350-1619
(208) 650-7941
Mailing address
794 EASTLAND DR, TWIN FALLS, ID 83301-6856
(208) 737-6718
(208) 734-5036
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M-14157
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500607972
—
OR
Enumeration date
05/31/2007
Last updated
01/05/2023
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