Individual
JENNIFER MICHELLE RIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
300 N PLYMOUTH AVE, NEW PLYMOUTH, ID 83655-5525
(208) 278-3335
(208) 278-3337
Mailing address
1441 NE 10TH AVE, PAYETTE, ID 83661-5420
(208) 642-9376
(208) 642-9279
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
4058711
KY
363LF0000X
Family Nurse Practitioner
9071440
ID
363LF0000X
Family Nurse Practitioner
Primary
95011933
CA
363LF0000X
Family Nurse Practitioner
APRNCNP0042118
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F06192019
AMERICAN ACADEMY OF NURSE PRACTITIONERS
CA
Enumeration date
07/02/2019
Last updated
06/01/2026
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