Individual
JESSICA AUBRY GREENSIDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1919 LINCOLN WAY STE 110, COEUR D ALENE, ID 83814-2527
(208) 625-4515
Mailing address
5460 W HIGHLAND DR, COEUR D ALENE, ID 83814-9740
(208) 691-2566
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
8371858
ID
Other
Enumeration date
04/09/2025
Last updated
07/22/2025
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