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Jessica Elaine Fu, MD
Student in an Organized Health Care Education/Training Program in Caldwell, Idaho
NPI 1710185111

Jessica Elaine Fu is a Student in an Organized Health Care Education/Training Program based in Caldwell, ID. Jessica Elaine Fu practices in Caldwell, ID and has the professional credentials of MD. The NPI Number for Jessica Elaine Fu is 1710185111 and holds a License No. M-11303 (Idaho).

The current practice location address for Jessica Elaine Fu is 315 Elm Street, Caldwell, ID and can be reached out via phone at 208-454-2035 and via fax at 208-454-1065.

Location: 315 Elm Street, Caldwell, ID, 83605
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710185111
Provider Name
Jessica Elaine Fu
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
315 Elm Street, Caldwell, ID, 83605
Phone Number
208-454-2035
Fax Number
208-454-1065
Provider Enumeration Date
07/06/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
LL1756 01 NV NV MEDICAL LIC
institution
Provider Business Practice Location Address Details
Address
315 Elm Street
City
Caldwell
State
Idaho
Zip
83605
Phone Number
208-454-2035
Fax Number
208-454-1065
person
Provider Business Mailing Address Details
Address
315 Elm Street
City
Caldwell
State
Idaho
Zip
83605
Phone Number
208-454-2035
Fax Number
208-454-1065
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
207V00000X
License No.
LL1756 (Nevada)
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
M-11303 (Idaho)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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