Jeffress, Mary Paige
Jeffress, Mary Paige is an individual health care provider with primary practice located at 4750 N Five Mile Rd , Boise ID 83713-2715. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Jeffress, Mary Paige can be contacted via phone (208) 375-0500.Contact Information
Primary practice address
4750 N Five Mile Rd
Boise ID 83713-2715
Phone: (208) 375-0500
Fax: (208) 375-4310
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | APN00541 | Nevada |
Profile Details
NPI number | 1326003377 |
---|---|
LBN Legal business name | Jeffress, Mary Paige |
Credentials | FNP-C |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 20th, 2006 |
Last updated | Sep 15th, 2010 - about 14 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1326003377 | NPPES |
Nevada | MEDICAID | 2407007 |
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