Individual
MRS. JENNIFER SUSAN STOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1055 N CURTIS RD, BOISE, ID 83706-1309
(208) 367-4096
Mailing address
3340 E GOLDSTONE DR, MERIDIAN, ID 83642-1026
(208) 302-5500
(208) 302-5555
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
287997-4405
UT
363LF0000X
Family Nurse Practitioner
Primary
NP-1725A
ID
Other
Enumeration date
10/31/2006
Last updated
06/03/2022
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