Individual
KIMBERLY BOYD JABBES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, AGPCNP-BC
Contact information
Practice address
2468 W MALRAUX DR, COEUR D ALENE, ID 83815-0438
(208) 310-2959
Mailing address
2468 W MALRAUX DR, COEUR D ALENE, ID 83815-0438
(208) 310-2959
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AP61006337
WA
363LG0600X
Gerontology Nurse Practitioner
62841
ID
Other
Enumeration date
05/20/2020
Last updated
05/20/2020
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