Individual provider · Type 1 NPI

Jeffery Thomas Ly, RN

Registered Nurse · Caldwell, ID

NPI number 1194229310 Active

Practice location

11961 Pheasant Run St
Caldwell, ID 83605-5082

Call (208) 590-8166 Map

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X46147 (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 1194229310

Jeffery Thomas Ly, RN's National Provider Identifier is 1194229310, issued on Mar 21, 2018. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Caldwell, ID. The record was last updated on Mar 21, 2018.