Hackwith, Jennifer Ann

Hackwith, Jennifer Ann is an individual health care provider with primary practice located at 500 W Fort St # 111 , Boise ID 83702-4501. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Hackwith, Jennifer Ann can be contacted via phone (208) 422-1000.

Contact Information

Primary practice address
500 W Fort St # 111 Boise ID 83702-4501
Phone: (208) 422-1000
Fax: (208) 422-1319
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APN000808 Nevada

Profile Details

NPI number 1285683581
LBN Legal business name Hackwith, Jennifer Ann
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 6th, 2006
Last updated Feb 25th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1285683581 NPPES
Arizona MEDICAID 307861

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