Individual
JESSICA WYNN COUNCELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
1072 N LIBERTY ST STE 100, BOISE, ID 83704
(208) 302-1200
(208) 302-1255
Mailing address
3340 E GOLDSTONE DR., MERIDIAN, ID 83642
(208) 302-1200
(208) 302-1255
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
59664
ID
Other
Enumeration date
03/12/2020
Last updated
06/09/2020
About Stedi
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