Individual
JONELLE HUDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
1055 N CURTIS RD, BOISE, ID 83706-1309
(208) 367-3131
(208) 367-4858
Mailing address
9237 W PREECE ST, BOISE, ID 83704-8189
(208) 440-5206
(208) 367-4858
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
202102336NP-PP
OR
363LA2200X
Adult Health Nurse Practitioner
Primary
NP67373
ID
363LG0600X
Gerontology Nurse Practitioner
NP67373
ID
Other
Enumeration date
02/10/2021
Last updated
05/04/2021
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