Jessica Lynn Bray, ANP-C
Nurse Practitioner in Coeur D Alene, ID. Individual provider (NPI-1).
NPI number1104590751
StatusActive
Last updated in NPPESSep 28, 2026
Details
- NPI
- 1104590751
- Entity type
- Individual (NPI-1)
- Name
- Ms. Jessica Lynn Bray
- Credential
- ANP-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 6, 2021
- Certification date
- Sep 28, 2026
- Last updated
- Sep 28, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 9181316 | ID | Yes |
| 363L00000X | Nurse Practitioner | 182046 | AK |
Practice location
700 W Ironwood Dr Ste 350Coeur D Alene, ID 83814-4487
Phone 208-625-5222 · Fax 208-625-5223
Mailing address
700 W Ironwood Dr Ste 350Coeur D Alene, ID 83814-4487
Phone 208-625-5222 · Fax 208-625-5223
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All 98 Nurse Practitioner providers in Coeur D Alene · All 2,988 providers in Coeur D Alene
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