Individual provider · Type 1 NPI

Jeanna Rae Rendo, NP-C

Nurse Practitioner · Fruitland, ID

NPI number 1205466281 Active

Practice location

811 NW 12th St
Fruitland, ID 83619-2268

Mailing address

233 E North St
Grangeville, ID 83530-1838

Other practice locations

  • 113 S A St, Grangeville, ID 83530-1428 · (208) 717-4940

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner 363LG0600X60528 (ID)
Nurse Practitioner Primary 363L00000X60528 (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…

5 other providers at this address

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About NPI 1205466281

Jeanna Rae Rendo, NP-C's National Provider Identifier is 1205466281, issued on Jan 18, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Fruitland, ID. The record was last updated on Feb 7, 2025.