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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 15 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 1326003377 NPPES
Nevada MEDICAID 2407007

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