Individual
JESS FIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
98 POPLAR ST, BLACKFOOT, ID 83221-1758
(208) 785-3729
Mailing address
287 W 330 N, BLACKFOOT, ID 83221-5170
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
AP60332807
WA
367500000X
Certified Registered Nurse Anesthetist
CRNA1529
AZ
367500000X
Certified Registered Nurse Anesthetist
Primary
RNA-881A
ID
Other
Enumeration date
05/09/2013
Last updated
11/03/2021
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