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Jennifer Sanderson, NP
Family Nurse Practitioner in Chubbuck, Idaho
NPI 1730582271

Jennifer Sanderson is a Family Nurse Practitioner based in Chubbuck, ID and is specialized in Family. Jennifer Sanderson practices in Chubbuck, ID and has the professional credentials of NP. The NPI Number for Jennifer Sanderson is 1730582271 and holds a License No. NP1511A (Idaho).

The current practice location address for Jennifer Sanderson is 190 W Burnside, Chubbuck, ID and can be reached out via phone at 208-417-8842 and via fax at 833-728-0327.

Location: 190 W Burnside, Chubbuck, ID, 83202-2411
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730582271
Provider Name
Jennifer Sanderson
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
190 W Burnside, Chubbuck, ID, 83202-2411
Phone Number
208-417-8842
Fax Number
833-728-0327
Provider Enumeration Date
09/29/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1679183388 05 ID
institution
Provider Business Practice Location Address Details
Address
190 W Burnside
City
Chubbuck
State
Idaho
Zip
83202-2411
Phone Number
208-417-8842
Fax Number
833-728-0327
person
Provider Business Mailing Address Details
Address
190 W Burnside
City
Chubbuck
State
Idaho
Zip
83202-2411
Phone Number
208-417-8842
Fax Number
833-728-0327
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
NP1511A (Idaho)
Definition
Definition to come...
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