Individual
JENNIFER PATCHETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
413 N ALLUMBAUGH ST STE 101, BOISE, ID 83704-9219
(208) 323-1125
Mailing address
413 N ALLUMBAUGH ST STE 101, BOISE, ID 83704-9219
(208) 323-1125
(208) 323-9604
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
43784
ID
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
7571239
ID
Other
Enumeration date
05/22/2024
Last updated
01/07/2025
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