JAMIE MUSGROVE NNP NPI 1114309853

NPI Information

NPI: 1114309853
Provider Name: JAMIE MUSGROVE, NNP
Classification: Nurse Practitioner - 363LN0000X
Entity Type: Individual

Specialization: Neonatal

PECOS Registration: Yes

Address:
2402 W PLEASANTON AVE
BOISE, ID
ZIP 83702
Phone: (970) 376-4017
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Jamie Musgrove, NNP is a neonatal nurse practitioner in Boise, ID. Jamie Musgrove, NNP NPI is 1114309853. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2402 W PLEASANTON AVE
BOISE, ID
ZIP 83702-837
Phone: (970) 376-4017

The NPI 1114309853 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/18/2015 and was last updated on 8/20/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WN0002X	Registered Nurse	Neonatal Intensive Care	0187605	COLORADO	No
2	363LN0000X	Nurse Practitioner	Neonatal	NP-1615A	IDAHO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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