Individual provider · Type 1 NPI

Jessicca Crismor, RN FNP-BC

Nurse Practitioner · Twin Falls, ID

NPI number 1508513375 Active

Practice location

625 Pole Line Rd W Ste 2A
Twin Falls, ID 83301-4270

Fax (208) 814-8942

Mailing address

190 E Bannock St
Boise, ID 83712-6241

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X56297 (ID)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1508513375

Jessicca Crismor, RN FNP-BC's National Provider Identifier is 1508513375, issued on Mar 2, 2022. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Twin Falls, ID. The record was last updated on Apr 19, 2022.