Individual
JENNIFER QUICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
8050 NORTHVIEW ST, BOISE, ID 83704-7126
(208) 327-0504
(208) 327-0594
Mailing address
8050 W NORTHVIEW ST, BOISE, ID 83704-7126
(208) 327-0504
(208) 327-0594
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
NP 568A
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
806614700
—
ID
Enumeration date
08/11/2006
Last updated
01/11/2012
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