Individual
JAMISON ANDREW BLENKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
321 N 20TH ST, COEUR D ALENE, ID 83814-5404
(208) 571-4868
Mailing address
321 N 20TH ST, COEUR D ALENE, ID 83814-5404
(208) 571-4868
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
9071546
ID
Other
Enumeration date
01/06/2025
Last updated
01/06/2025
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