Individual
JAEGER A ASHTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
305 E JEFFERSON ST, BOISE, ID 83712-6273
(208) 381-9590
(208) 381-9599
Mailing address
305 E JEFFERSON ST, BOISE, ID 83712-6273
(208) 381-9590
(617) 989-3247
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN279995
MA
Other
Enumeration date
09/22/2010
Last updated
09/19/2019
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