Jerome, Susan
Jerome, Susan is an individual health care provider with primary practice located at 1910 University Dr Ms-1351, Boise ID 83725-0002. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Jerome, Susan can be contacted via phone (208) 426-1459.Contact Information
Primary practice address
1910 University Dr Ms-1351
Boise ID 83725-0002
Phone: (208) 426-1459
Fax: (208) 426-3005
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | NP234-A | Hawaii |
Profile Details
| NPI number | 1265650238 |
|---|---|
| LBN Legal business name | Jerome, Susan |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 23rd, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1265650238 | NPPES |
| Idaho | Other | NP234A | STATE LICENSE |
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