Organization
NORTH IDAHO WOUND CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER RAE STALLINGS ARNP (MEMBER)
(208) 518-9193
Entity
Organization
Contact information
Practice address
3906 W CALZADO DR, COEUR D ALENE, ID 83815-5161
(208) 518-9193
Mailing address
3906 W CALZADO DR, COEUR D ALENE, ID 83815-5161
(208) 518-9193
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/16/2026
Last updated
03/18/2026
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