Organization · Type 2 NPI
Tennessee PHS PC
Nurse Practitioner · Boise, ID
Practice location
950 W. Bannock Street, Suite 1100
Boise, ID 83702-6140
Fax (901) 261-4867
Mailing address
1509 Dulles Drive
Lafayette, LA 70506
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | None listed |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1063786648
Tennessee PHS PC's National Provider Identifier is 1063786648, issued on Feb 29, 2012. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Boise, ID. The record was last updated on Jul 2, 2014.