Individual
JENNIFER BABCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1115 12TH AVE RD, NAMPA, ID 83686-5738
(208) 498-1080
(208) 498-1081
Mailing address
PO BOX 191050, BOISE, ID 83719-1050
(208) 955-6522
(208) 955-6503
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
60285078
WA
363LF0000X
Family Nurse Practitioner
Primary
NP-1148A
ID
Other
Enumeration date
06/06/2012
Last updated
07/22/2014
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