Conn, Jenifer Shanon

Conn, Jenifer Shanon is an sole proprietor health care provider with primary practice located at 1510 12Th Avenue Rd Ste 200 , Nampa ID 83686. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Diabetes Educator, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Conn, Jenifer Shanon can be contacted via phone (208) 302-0600.

Contact Information

Primary practice address
1510 12Th Avenue Rd Ste 200 Nampa ID 83686
Phone: (208) 302-0600
Fax: (208) 302-0755
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Diabetes Educator 163WD0400X N32302 Idaho
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 60035 Idaho

Profile Details

NPI number 1467762856
LBN Legal business name Conn, Jenifer Shanon
Credentials APRN-CNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 19th, 2010
Last updated Jul 3rd, 2019 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1467762856 NPPES
Idaho Other N32302 N32302
Idaho Other 60035 N32302

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