Individual
JAMISON VINCENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1910 UNIVERSITY DR, BOISE, ID 83725-0002
(208) 426-1000
Mailing address
1283 S DIVISION AVE, BOISE, ID 83706-3652
(734) 352-1186
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
6971051
ID
Other
Enumeration date
05/14/2026
Last updated
05/14/2026
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