Individual provider · Type 1 NPI

Jana M. Qualls, FNP

Family Nurse Practitioner · Coeur D Alene, ID

NPI number 1083670889 Active

Practice location

913 W Canfield Ave
Coeur D Alene, ID 83815-9764

Fax (949) 957-2456

Mailing address

3117 W Augustin Dr
Coeur D Alene, ID 83815-5362

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XNP-1631A (ID)

Family Nurse Practitioner: Definition to come...

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About NPI 1083670889

Jana M. Qualls, FNP's National Provider Identifier is 1083670889, issued on Apr 21, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Coeur D Alene, ID. The record was last updated on Sep 9, 2025.