Individual
JARED JOHNATHAN HULME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN, DNP, FNP-C
Contact information
Practice address
900 SUNSET DR, LA GRANDE, OR 97850-1387
(541) 963-8421
Mailing address
6098 S TAMBOURINE AVE, BOISE, ID 83709-7860
(208) 550-5777
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
55878
ID
Other
Enumeration date
07/10/2017
Last updated
07/10/2017
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