Individual provider · Type 1 NPI

Kacie Marie Peacock, RN

Registered Nurse · Plummer, ID

NPI number 1083313159 Active

Practice location

4440 Highway 5
Plummer, ID 83851-9681

Specialties and licenses

Taxonomy	Code	License
Registered Nurse	163W00000X	RN61343748 (WA)
Registered Nurse	163W00000X	758195 (CA)
Registered Nurse Primary	163W00000X	69205 (ID)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1083313159

Kacie Marie Peacock, RN's National Provider Identifier is 1083313159, issued on Feb 28, 2023. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Plummer, ID. The record was last updated on Feb 28, 2023.