Individual
JAXSON P ZOHNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
3320 S 25TH E, IDAHO FALLS, ID 83404-4606
(208) 656-1500
(208) 656-1502
Mailing address
2105 CORONADO ST, IDAHO FALLS, ID 83404-7495
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
59657
ID
Other
Enumeration date
03/13/2024
Last updated
03/13/2024
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