Individual provider · Type 1 NPI

Jennifer Estelle Berg

Student in an Organized Health Care Education/Training Program · Nampa, ID

NPI number 1235074048 Active

Practice location

16300 N Marketplace Blvd
Nampa, ID 83687-7910

Call (208) 800-6542 Map

Mailing address

1079 E Riversong Dr
Eagle, ID 83616-5570

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

3 other providers at this address

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About NPI 1235074048

Jennifer Estelle Berg's National Provider Identifier is 1235074048, issued on Apr 20, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Nampa, ID. The record was last updated on Apr 20, 2026.