Individual
JILL HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1015 W HAYS ST #105, BOISE, ID 83702
(208) 476-1995
(208) 227-8612
Mailing address
1015 W HAYS ST #105, BOISE, ID 83702
(208) 476-1995
(208) 227-8612
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP-1531A
ID
Other
Enumeration date
02/17/2015
Last updated
09/13/2023
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