Individual
JANE PIERCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
500 W FORT ST, BOISE, ID 83702-4501
(208) 422-1000
Mailing address
11245 W RAUL ST, BOISE, ID 83709-7302
(805) 610-7523
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
70036
ID
Other
Enumeration date
01/17/2024
Last updated
01/17/2024
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