Individual provider · Type 1 NPI

Jenabella D. Tracy

Student in an Organized Health Care Education/Training Program · Boise, ID

NPI number 1902276173 Active

Practice location

10108 W Lincroft St
Boise, ID 83704-5037

Call (208) 906-4997 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Other student in an organized health care education/training program providers in Boise

See all in Boise →

About NPI 1902276173

Jenabella D. Tracy's National Provider Identifier is 1902276173, issued on Sep 30, 2015. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Boise, ID. The record was last updated on Sep 30, 2015.