Individual
BAILEY JO BARTLOME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
3003 W MAIN ST STE 110, BOISE, ID 83702-2026
(208) 954-2359
(208) 214-0300
Mailing address
PO BOX 141, HOMEDALE, ID 83628-0141
(208) 869-8172
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1761471
ID
Other
Enumeration date
10/08/2024
Last updated
02/03/2025
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