Individual
BRIAN JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA, DNP
Contact information
Practice address
1055 N CURTIS RD, BOISE, ID 83706-1309
(208) 367-6416
Mailing address
5072 N FARROW ST, BOISE, ID 83713-1815
(801) 851-0580
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
65912
ID
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/25/2020
Last updated
09/28/2020
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