Individual provider · Type 1 NPI

Jay Phan

Family Nurse Practitioner · Twin Falls, ID

NPI number 1669299152 Active

Practice location

419 Shoup Ave W
Twin Falls, ID 83301-5028

Call (209) 996-1700 Map

Mailing address

604 Lynwood Blvd
Twin Falls, ID 83301-4133

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X3561779 (ID)

Family Nurse Practitioner: Definition to come...

3 other providers at this address

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About NPI 1669299152

Jay Phan's National Provider Identifier is 1669299152, issued on Sep 25, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Twin Falls, ID. The record was last updated on Sep 25, 2024.