Individual provider · Type 1 NPI
Jessica Lively, RN, BSN
Registered Nurse · Twin Falls, ID
Practice location
801 Pole Line Rd W
Twin Falls, ID 83301-5799
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse Primary | 163W00000X | 68234 (ID) |
Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…
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About NPI 1447179601
Jessica Lively, RN, BSN's National Provider Identifier is 1447179601, issued on Jul 13, 2026. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Twin Falls, ID. The record was last updated on Jul 13, 2026.