Councell, Jessica Wynn
Councell, Jessica Wynn is an individual health care provider with primary practice located at 1072 N Liberty St Ste 100 , Boise ID 83704. She recently has only one registered license in Other Service Providers / Midwife, which is considered as her primary health care specialty. Councell, Jessica Wynn can be contacted via phone (208) 302-1200.Contact Information
Primary practice address
1072 N Liberty St Ste 100
Boise ID 83704
Phone: (208) 302-1200
Fax: (208) 302-1255
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Midwife | 176B00000X | 59664 | Idaho |
Profile Details
| NPI number | 1982230710 |
|---|---|
| LBN Legal business name | Councell, Jessica Wynn |
| Credentials | Certified Nurse Midwife (CNM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 12th, 2020 |
| Last updated | Jun 9th, 2020 - about 5 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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