Individual provider · Type 1 NPI
Jordyn L. Watts, ACNPC-AG
Acute Care Nurse Practitioner · Lewiston, ID
NPI number
1548899156
Active
Practice location
415 6th St
Lewiston, ID 83501-2431
Mailing address
1400 E Cactus Ave
Post Falls, ID 83854-6066
Other practice locations
- 101 W 8th Ave, Spokane, WA 99204-2307 · (509) 474-3260
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | RN60283274 (WA) |
| Acute Care Nurse Practitioner Primary | 363LA2100X | AP61063402 (WA) |
| Acute Care Nurse Practitioner | 363LA2100X | 68454 (ID) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1548899156
Jordyn L. Watts, ACNPC-AG's National Provider Identifier is 1548899156, issued on Apr 6, 2020. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Lewiston, ID. The record was last updated on Oct 10, 2025.