Individual
MR. JEREMY A BASSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
856 BANKS LOWMAN ROAD, GARDEN VALLEY, ID 83622-0270
(208) 462-3533
(208) 462-3736
Mailing address
PO BOX 270, GARDEN VALLEY, ID 83622-0270
(208) 462-3533
(208) 462-3736
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
1036
AK
363LF0000X
Family Nurse Practitioner
Primary
NP1025
ID
Other
Enumeration date
07/10/2008
Last updated
03/28/2011
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