Organization
JENNIFER C MAIRE DNP PMHNP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER CHRISTINE MAIRE DNP, PMHNP-BC (OWNER, DNP, PMHNP)
(208) 671-7013
Entity
Organization
Contact information
Practice address
343 E 4TH N, REXBURG, ID 83440-6002
(208) 671-7013
(208) 932-4319
Mailing address
1999 S 25TH E STE 1016, AMMON, ID 83406-5710
(208) 671-7013
(208) 932-4319
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/29/2026
Last updated
04/29/2026
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