Organization
EROS HEALTH, LLC
Active
Other names
Eros Health
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER JEAN MIMISH CNM, WHNP (OWNER, NURSE PRACTITIONER)
(208) 559-6494
Entity
Organization
Contact information
Practice address
800 W MAIN ST STE 1460, BOISE, ID 83702-5983
(208) 352-2290
(833) 471-6098
Mailing address
1301 S MILLSTREAM DR, NAMPA, ID 83686-4837
(208) 559-6494
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
363LW0102X
Women's Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/11/2022
Last updated
07/23/2025
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