Individual provider · NPI-1

Jennifer Babcock

Nurse Practitioner, Family · Nampa, ID

NPI number1972864833
StatusActive
Last updated in NPPESJul 22, 2014

Details

NPI
1972864833
Entity type
Individual (NPI-1)
Name
Jennifer Babcock
Sex
Female
Sole proprietor
No
Enumeration date
Jun 6, 2012
Last updated
Jul 22, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, FamilyNP-1148AIDYes
363LF0000X Nurse Practitioner, Family60285078WA

Practice location

1115 12th Ave Rd
Nampa, ID 83686-5738

Phone 208-498-1080 · Fax 208-498-1081

Mailing address

Po Box 191050
Boise, ID 83719-1050

Phone 208-955-6522 · Fax 208-955-6503

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