Individual
JODY CACIOPPO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
203 W MAIN ST, BOISE, ID 83702-7263
(208) 336-7722
(208) 336-9284
Mailing address
203 W MAIN ST, BOISE, ID 83702-7263
(208) 336-7722
(208) 336-9284
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2871282
ID
Other
Enumeration date
11/22/2025
Last updated
12/01/2025
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