| NPI | 1073123220 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMY JASON SLOYER President/Provider 208-297-4091 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| 363LP2300X Nurse Practitioner, Primary Care | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2020-08-03 |
| Last Update Date | 2026-04-22 |