Paulson, Jennifer

Paulson, Jennifer is an individual health care provider with primary practice located at 2976 E State St Ste 210 , Eagle ID 83616-6377. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Paulson, Jennifer can be contacted via phone (208) 607-3738.

Contact Information

Primary practice address
2976 E State St Ste 210 Eagle ID 83616-6377
Phone: (208) 607-3738
Fax: (208) 369-9274
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP3281 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 201050195NP Oregon
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 74281 Idaho

Profile Details

NPI number 1164685210
LBN Legal business name Paulson, Jennifer
Credentials DNP, FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2008
Last updated Sep 25th, 2023 - about last year

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 1164685210 NPPES
Oregon Other 131679 MEDICARE PROVIDER NUMBER

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