TENNESSEE PHS PC

Nurse Practitioner

NPI: 1063786648Organization

Specialties, Licenses & Credentials

Nurse PractitionerPrimary

Nurse Practitioner

Code: 363L00000X

Contact & Hours

Address: 950 W. BANNOCK STREET, SUITE 1100
BOISE, ID 83702
Phone: (877) 260-4747

Quick Facts

NPI: 1063786648
Entity Type: Organization
Medicare: Not confirmed
Specialties: 1
Locations: 1

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