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1114382207
JENNIFER SHEPARD
BOISE, ID
NPI
1114382207
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LN0005X Nurse Practitioner, Neonatal, Critical Care
(Licence: ID NP-1671A)
Enumeration Date
2015-12-16
Last Update Date
2015-12-16
Business Address
-- JENNIFER SHEPARD NNP-BC
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-2088
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Mailing Address
-- JENNIFER SHEPARD NNP-BC
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-2088
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