Individual
JENNA LOIS LUDWIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNPC-AG
Contact information
Practice address
700 W IRONWOOD DR STE 378, COEUR D ALENE, ID 83814-4401
(208) 625-3555
(208) 769-8616
Mailing address
PO BOX 421, LIBERTY LAKE, WA 99019-0421
(866) 747-2455
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
75714
ID
363LA2100X
Acute Care Nurse Practitioner
Primary
AP61399318
WA
Other
Enumeration date
01/26/2023
Last updated
07/24/2025
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