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JORDAN CLAY CHAPMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
777 HOSPITAL WAY OFC BLDG, POCATELLO, ID 83201-2797
(208) 239-1960
Mailing address
777 HOSPITAL WAY OFC BLDG, POCATELLO, ID 83201-2797

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
58921
ID

Other

Enumeration date
06/18/2018
Last updated
06/18/2018
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