Individual
JENNA LINDSAY GERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
417 S 6TH ST, BOISE, ID 83702-7632
(208) 577-4460
Mailing address
1215 N 9TH ST, BOISE, ID 83702-4236
(208) 921-1488
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
56881
ID
Other
Enumeration date
09/12/2017
Last updated
09/29/2017
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