JARED WILLIAM RICKABAUGH

IDAHO FALLS, ID
NPI1649753740
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: ID  59690)
Enumeration Date2018-09-13
Last Update Date2018-09-13
Business Address
JARED WILLIAM RICKABAUGH APRN, FNP-C
2375 E SUNNYSIDE RD STE J
IDAHO FALLS, ID 83404-8281
Phone number: 208-542-7060
Mailing Address
JARED WILLIAM RICKABAUGH APRN, FNP-C
1551 N 700 E
SHELLEY, ID 83274-5006
Phone number: 208-541-3140