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Jillian Vaughan
Family Nurse Practitioner in Boise, Idaho
NPI 1437758489

Jillian Vaughan is a Family Nurse Practitioner based in Boise, ID and is specialized in Family. Jillian Vaughan practices in Boise, ID. The NPI Number for Jillian Vaughan is 1437758489 and holds a License No. 53890 (Idaho).

The current practice location address for Jillian Vaughan is 301 W Myrtle St, Boise, ID and can be reached out via phone at 208-342-8200.

Location: 301 W Myrtle St, Boise, ID, 83714-6111
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1437758489
Provider Name
Jillian Vaughan
Credential
Provider Entity Type
Individual
Gender
Female
Address
301 W Myrtle St, Boise, ID, 83714-6111
Phone Number
208-342-8200
Fax Number
Provider Enumeration Date
10/21/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
301 W Myrtle St
City
Boise
State
Idaho
Zip
83702-7656
Phone Number
208-342-8200
Fax Number
person
Provider Business Mailing Address Details
Address
301 W Myrtle St
City
Boise
State
Idaho
Zip
83702-7656
Phone Number
208-342-8200
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Neuroscience
Taxonomy
163WN0800X
License No.
53890 (Idaho)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
53890 (Idaho)
Definition
Definition to come...
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