Individual
JACKIE GEORGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
500 W FORT ST, BOISE, ID 83702-4599
(208) 739-3588
(208) 452-1052
Mailing address
500 W FORT ST, BOISE, ID 83702-4599
(208) 452-1000
(208) 452-1052
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
35102
ID
Other
Enumeration date
01/26/2023
Last updated
01/26/2023
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