MARY PAIGE JEFFRESS FNP-C NPI 1326003377

NPI Information

NPI: 1326003377
Provider Name: MARY PAIGE JEFFRESS, FNP-C
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
4750 N FIVE MILE RD
BOISE, ID
ZIP 83713
Phone: (208) 375-0500
Get Directions

Mary Paige Jeffress, FNP-C is a family nurse practitioner in Boise, ID. Mary Paige Jeffress, FNP-C NPI is 1326003377. 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:

4750 N FIVE MILE RD
BOISE, ID
ZIP 83713-715
Phone: (208) 375-0500
Fax: (208) 375-4310

The NPI 1326003377 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 4/20/2006 and was last updated on 9/15/2010.

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	363LF0000X	Nurse Practitioner	Family	APN00541	NEVADA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	34845	MEDICARE PIN	NEVADA
2	S95483	MEDICARE UPIN	NEVADA
3	2407007	MEDICAID	NEVADA

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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