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
9071440
ID
363LF0000X
Family Nurse Practitioner
Primary
95011933
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F06192019
AMERICAN ACADEMY OF NURSE PRACTITIONERS
CA
Enumeration date
07/02/2019
Last updated
03/31/2026
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