Individual
JEFFREY KENNETH WEESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1150 N SISTER CATHERINE WAY, NAMPA, ID 83687-3133
(208) 302-7050
(208) 302-7055
Mailing address
PO BOX 190930, BOISE, ID 83719-0930
(208) 367-5170
(208) 367-5180
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
61065
ID
Other
Enumeration date
07/15/2019
Last updated
05/06/2025
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