Individual
JILL MCKENZIE SHARP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
7983 S RED CLIFF AVE, BOISE, ID 83716-3465
(208) 859-0740
Mailing address
7983 S RED CLIFF AVE, BOISE, ID 83716-3465
(208) 859-0740
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
64235
ID
Other
Enumeration date
05/18/2023
Last updated
05/18/2023
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