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Jackson Whole Family Health, Inc.
Family Nurse Practitioner in Jackson, Wyoming
NPI 1053519918

Jackson Whole Family Health, Inc. is a Family Nurse Practitioner based in Jackson, WY and is specialized in Family. Jackson Whole Family Health, Inc. practices in Jackson, WY. The NPI Number for Jackson Whole Family Health, Inc. is 1053519918 and holds a License No. (Wyoming).

The current practice location address for Jackson Whole Family Health, Inc. is 1110 Maple Way, Jackson, WY and can be reached out via phone at 307-733-7003 and via fax at 307-734-8477.

Location: 1110 Maple Way, Jackson, WY, 83002-0738
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1053519918
Provider Name
Jackson Whole Family Health, Inc.
Credential
Provider Entity Type
Organization
Address
1110 Maple Way, Jackson, WY, 83002-0738
Phone Number
307-733-7003
Fax Number
307-734-8477
Provider Enumeration Date
07/03/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00581001 01 WY BLUE CROSS
institution
Provider Business Practice Location Address Details
Address
1110 Maple Way
City
Jackson
State
Wyoming
Zip
83001
Phone Number
307-733-7003
Fax Number
307-734-8477
person
Provider Business Mailing Address Details
Address
1110 Maple Way
City
Jackson
State
Wyoming
Zip
83001
Phone Number
307-733-7003
Fax Number
307-734-8477
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
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Definition
Definition to come...
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