Individual provider · Type 1 NPI
Jennifer Susan Stock, FNP
Family Nurse Practitioner · Boise, ID
NPI number
1689750614
Active
Practice location
1055 N Curtis Rd
Boise, ID 83706-1309
Mailing address
3340 E Goldstone Dr
Meridian, ID 83642-1026
Other practice locations
- 12273 W Mcmillan Road, Boise, ID 83713 · (208) 302-5500
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 287997-4405 (UT) |
| Family Nurse Practitioner Primary | 363LF0000X | NP-1725A (ID) |
Family Nurse Practitioner: Definition to come...
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About NPI 1689750614
Jennifer Susan Stock, FNP's National Provider Identifier is 1689750614, issued on Oct 31, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Boise, ID. The record was last updated on Jun 3, 2022.