Individual
JENNIFER WELCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGACNP
Contact information
Practice address
1840 CANYON CREST DR, TWIN FALLS, ID 83301-3007
(208) 814-7100
Mailing address
1840 CANYON CREST DR, TWIN FALLS, ID 83301-3007
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
61610
ID
Other
Enumeration date
02/01/2021
Last updated
02/01/2021
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