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Family First Health Pc
Family Nurse Practitioner in Jackson, Wyoming
NPI 1093002412

Family First Health Pc is a Family Nurse Practitioner based in Jackson, WY and is specialized in Family. Family First Health Pc practices in Jackson, WY. The NPI Number for Family First Health Pc is 1093002412 and holds a License No. 263300970 (Wyoming).

The current practice location address for Family First Health Pc is 555 E Broadway Ave, Jackson, WY and can be reached out via phone at 307-201-1696.

Location: 555 E Broadway Ave, Jackson, WY, 83002-2568
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1093002412
Provider Name
Family First Health Pc
Credential
Provider Entity Type
Organization
Address
555 E Broadway Ave, Jackson, WY, 83002-2568
Phone Number
307-201-1696
Fax Number
Provider Enumeration Date
07/06/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
W24204 01 WY MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
555 E Broadway Ave
City
Jackson
State
Wyoming
Zip
83001-8640
Phone Number
307-201-1696
Fax Number
person
Provider Business Mailing Address Details
Address
555 E Broadway Ave
City
Jackson
State
Wyoming
Zip
83001-8640
Phone Number
307-201-1696
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
263300970 (Wyoming)
Definition
Definition to come...
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