Shepard, Jennifer

Shepard, Jennifer is an individual health care provider with primary practice located at 190 E Bannock St , Boise ID 83712-6241. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care, which is considered as her primary health care specialty. Shepard, Jennifer can be contacted via phone (208) 381-2088.

Contact Information

Primary practice address
190 E Bannock St Boise ID 83712-6241
Phone: (208) 381-2088
Fax: (208) 381-2893
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care 363LN0005X NP-1671A Idaho

Profile Details

NPI number 1114382207
LBN Legal business name Shepard, Jennifer
Credentials NNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 16th, 2015
Last updated Dec 16th, 2015 - about 10 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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