Maire, Jennifer Christine
Maire, Jennifer Christine is an sole proprietor health care provider with primary practice located at 2001 S Woodruff Ave Ste 9 , Idaho Falls ID 83404-6371. 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. Maire, Jennifer Christine can be contacted via phone (208) 419-3002.Contact Information
Primary practice address
2001 S Woodruff Ave Ste 9
Idaho Falls ID 83404-6371
Phone: (208) 419-3002
Fax: (208) 656-5652
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 64122 | Idaho |
Profile Details
NPI number | 1437765344 |
---|---|
LBN Legal business name | Maire, Jennifer Christine |
Credentials | PMHNP-BC |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Sep 17th, 2020 |
Last updated | Sep 17th, 2020 - about 4 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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