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Individual

DR. JANE N YOUNG

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
CRNP MSN

Contact information

Practice address
1075 N CURTIS RD, SUITE 100, BOISE, ID 83706-1300
(208) 377-5166
(208) 375-0599
Mailing address
1075 N CURTIS RD, SUITE 100, BOISE, ID 83706-1300
(208) 377-5166
(208) 375-0599

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
NP71A
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000010016730
BLUE SHIELD
ID
01
NP414
BLUE CROSS/TRUE BLUE
ID
Enumeration date
09/23/2005
Last updated
07/08/2007
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