Individual provider · Type 1 NPI

Jennifer Rae Stallings, NP

Nurse Practitioner · Coeur D Alene, ID

NPI number 1780253989 Active

Practice location

2120 W Ironwood Center Dr
Coeur D Alene, ID 83814-2639

Call (208) 625-6944 Map

Fax (208) 625-6945

Other practice locations

25 Jacobs Gulch Rd, Kellogg, ID 83837-2023 · (208) 784-1221
11120 NE 33rd Pl Ste 202, Bellevue, WA 98004-1444 · (206) 823-1004

Specialties and licenses

Taxonomy	Code	License
Nurse Practitioner Primary	363L00000X	39413 (ID)
Family Nurse Practitioner	363LF0000X	67570 (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…

4 other providers at this address

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About NPI 1780253989

Jennifer Rae Stallings, NP's National Provider Identifier is 1780253989, issued on Jun 22, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Coeur D Alene, ID. The record was last updated on Sep 16, 2025.