Individual provider · Type 1 NPI
Jacquelyn Charters
Lodging Provider · Boise, ID
NPI number
1831927979
Active
Practice location
2015 S Orchard St
Boise, ID 83705-3639
Mailing address
5347 S Palatino Ave
Meridian, ID 83642-4461
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Lodging Provider Primary | 177F00000X | None listed |
Lodging Provider: A public or privately owned facility providing overnight lodging to individuals traveling long distances or receiving prolonged outpatient medical services away from home.
About NPI 1831927979
Jacquelyn Charters's National Provider Identifier is 1831927979, issued on Jul 22, 2024. The primary taxonomy on file is Lodging Provider (177F00000X), and the practice location is in Boise, ID. The record was last updated on Jul 22, 2024.