Individual provider · Type 1 NPI
Jessica Beth Long, AGNP-C
Nurse Practitioner · Eagle, ID
Practice location
420 E State St Ste 135
Eagle, ID 83616-4898
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 56895 (ID) |
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 1194244707
Jessica Beth Long, AGNP-C's National Provider Identifier is 1194244707, issued on Sep 14, 2017. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Eagle, ID. The record was last updated on Jul 21, 2022.