Individual
RACHELLE JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
F.N.P.-C.
Contact information
Practice address
556 TREJO ST STE B, REXBURG, ID 83440-2626
(208) 881-0902
(208) 881-9352
Mailing address
556 TREJO ST STE B, REXBURG, ID 83440-2626
(208) 881-0902
(208) 881-9352
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
20125A
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
808361600
—
ID
Enumeration date
05/29/2009
Last updated
11/09/2017
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