Individual
JENNIFER DE MUYNCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2102 E PENNSYLVANIA AVE, COEUR D ALENE, ID 83814-5571
(208) 640-4257
Mailing address
2102 E PENNSYLVANIA AVE, COEUR D ALENE, ID 83814-5571
(208) 640-4257
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
63921
ID
163W00000X
Registered Nurse
Primary
RN61046284
WA
Other
Enumeration date
10/25/2025
Last updated
10/25/2025
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