Individual provider · Type 1 NPI

Janessa Waterman, NP-C

Family Nurse Practitioner · Boise, ID

NPI number 1346933405 Active

Practice location

1055 N Curtis Rd
Boise, ID 83706-1309

Fax (208) 367-3174

Mailing address

PO Box 190930
Boise, ID 83719-0930

Other practice locations

  • 1805 E Overland Rd Apt 4523, Meridian, ID 83642-7079 · (208) 965-7338

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X62248 (ID)

Family Nurse Practitioner: Definition to come...

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About NPI 1346933405

Janessa Waterman, NP-C's National Provider Identifier is 1346933405, issued on Jun 2, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Boise, ID. The record was last updated on Oct 17, 2023.