Individual
MARY JORDAN DRISCOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
801 N STILSON RD STE 100, BOISE, ID 83703-5142
(208) 332-4540
(208) 286-0565
Mailing address
801 N STILSON RD STE 100, BOISE, ID 83703-5142
(208) 332-4540
(208) 286-0565
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
79647
ID
Other
Enumeration date
01/09/2026
Last updated
01/09/2026
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