An, Ji Young

An, Ji Young is an individual health care provider with primary practice located at 1226 W River St , Boise ID 83702-7049. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Diabetes Educator, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. An, Ji Young can be contacted via phone (208) 331-1155.

Contact Information

Primary practice address
1226 W River St Boise ID 83702-7049
Phone: (208) 331-1155
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Diabetes Educator 163WD0400X 44024 Idaho
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F10200434 Idaho

Profile Details

NPI number 1205435757
LBN Legal business name An, Ji Young
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2020
Last updated Oct 25th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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