Individual
SHELLEY JO FOLSOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
WHNP-BC
Contact information
Practice address
535 W SUNNYSIDE RD, IDAHO FALLS, ID 83402-4643
(208) 529-2019
(208) 392-4095
Mailing address
2380 E ALEXIS AVE, IDAHO FALLS, ID 83401-4724
(208) 312-3999
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
70296
ID
Other
Enumeration date
12/30/2021
Last updated
12/30/2021
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