Individual
MS. JANICE W JARRARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1618 S. MILLENNIUM WAY, SUITE 100, MERIDIAN, ID 83642-6457
(208) 884-3376
(208) 884-0858
Mailing address
1618 S. MILLENNIUM WAY, SUITE 100, MERIDIAN, ID 83642-6457
(208) 884-3376
(208) 884-0858
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP573A
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
806400900
—
ID
Enumeration date
07/01/2006
Last updated
08/29/2019
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