Individual provider · Type 1 NPI
Jacob Chamberlain, RN
General Practice Registered Nurse · Boise, ID
NPI number
1053045153
Active
Practice location
500 W Fort St
Boise, ID 83702-4599
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Registered Nurse Primary | 163WG0000X | 71945 (ID) |
General Practice Registered Nurse: Definition to come...
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About NPI 1053045153
Jacob Chamberlain, RN's National Provider Identifier is 1053045153, issued on Jul 13, 2022. The primary taxonomy on file is General Practice Registered Nurse (163WG0000X), and the practice location is in Boise, ID. The record was last updated on Jul 13, 2022.