Individual provider · Type 1 NPI
Jessica Inez Gratzer, NP
Gerontology Nurse Practitioner · Twin Falls, ID
NPI number
1205498201
Active
Practice location
801 Pole Line Rd W
Twin Falls, ID 83301-5810
Mailing address
184 W 200 N
Jerome, ID 83338-5232
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | 61853 (ID) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1205498201
Jessica Inez Gratzer, NP's National Provider Identifier is 1205498201, issued on Jul 1, 2019. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Twin Falls, ID. The record was last updated on Jul 1, 2019.