Individual provider · Type 1 NPI
Jenifer Shanon Conn, APRN-CNP
Adult Health Nurse Practitioner · Nampa, ID
NPI number
1467762856
Active
Practice location
1510 12th Avenue Rd Ste 200
Nampa, ID 83686
Fax (208) 302-0755
Mailing address
3340 E Goldstone Way
Meridian, ID 83642
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Diabetes Educator Registered Nurse | 163WD0400X | N32302 (ID) |
| Adult Health Nurse Practitioner Primary | 363LA2200X | 60035 (ID) |
Adult Health Nurse Practitioner: Definition to come...
Other adult health nurse practitioner providers in Nampa
About NPI 1467762856
Jenifer Shanon Conn, APRN-CNP's National Provider Identifier is 1467762856, issued on Oct 19, 2010. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Nampa, ID. The record was last updated on Jul 3, 2019.