Individual
MRS. EMILY JEAN DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
4477 W EMERALD ST STE A150, BOISE, ID 83706-2027
(208) 358-8945
Mailing address
2042 E MOZART ST, MERIDIAN, ID 83646-4736
(208) 404-3593
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
68967
ID
Other
Enumeration date
07/15/2021
Last updated
06/15/2023
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