Individual
MISS JACQUELINE ROMRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3067 EAGLE DR, AMMON, ID 83406-1273
(208) 522-4600
(208) 552-7521
Mailing address
3067 EAGLE DR, AMMON, ID 83406-1273
(208) 522-4600
(208) 552-7521
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
7203990-4405
UT
Other
Enumeration date
06/26/2013
Last updated
11/19/2020
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