Gooding, Jennifer Jeanne

Gooding, Jennifer Jeanne is an individual health care provider with primary practice located at 3330 E Louise Dr Ste 400 , Meridian ID 83642-5123. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Gooding, Jennifer Jeanne can be contacted via phone (208) 381-2721.

Contact Information

Primary practice address
3330 E Louise Dr Ste 400 Meridian ID 83642-5123
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X NP-860A Idaho

Profile Details

NPI number 1356513519
LBN Legal business name Gooding, Jennifer Jeanne
Credentials N.P.-C.
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2008
Last updated May 2nd, 2022 - about 2 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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