Individual
DR. JACE NEBEKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DNP, APRN,FNP-C
Contact information
Practice address
2220 E 25TH ST, IDAHO FALLS, ID 83404-7542
(208) 542-9080
Mailing address
3718 STONEBROOK LN, IDAHO FALLS, ID 83404-7910
(208) 569-7068
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
68685
ID
Other
Enumeration date
07/27/2021
Last updated
12/10/2021
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