Individual provider · NPI-1

Joanne Rochelle Adams, NP-C

Nurse Practitioner, Family · Nampa, ID

NPI number1962175646
StatusActive
Last updated in NPPESNov 23, 2021

Details

NPI
1962175646
Entity type
Individual (NPI-1)
Name
Joanne Rochelle Adams
Credential
NP-C
Sex
Female
Sole proprietor
No
Enumeration date
Jul 28, 2021
Certification date
Nov 23, 2021
Last updated
Nov 23, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family69108IDYes

Practice location

3908 E Flamingo Ave
Nampa, ID 83687-3102

Phone 208-442-8035

Mailing address

3908 E Flamingo Ave
Nampa, ID 83687-3102

Phone 208-442-8035 · Fax 208-442-8038

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