JESSICA BETH LONG

EAGLE, ID
NPI1194244707
Other NameJESSICA BETH MITCHELL
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: ID  56895)
Enumeration Date2017-09-14
Last Update Date2022-07-21
Business Address
JESSICA BETH LONG AGNP-C
420 E STATE ST STE 135
EAGLE, ID 83616-4898
Phone number: 208-402-9956
Mailing Address
JESSICA BETH LONG AGNP-C
420 E STATE ST STE 135
EAGLE, ID 83616-4898
Phone number: 208-402-9956
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