JENIFER SHANON CONN APRN-CNP NPI 1467762856

NPI Information

NPI: 1467762856
Provider Name: JENIFER SHANON CONN, APRN-CNP
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

PECOS Registration: Yes

Address:
1510 12TH AVENUE RD STE 200
NAMPA, ID
ZIP 83686
Phone: (208) 302-0600
Get Directions

Jenifer Shanon Conn, APRN-CNP is an adult health nurse practitioner in Nampa, ID. Jenifer Shanon Conn, APRN-CNP NPI is 1467762856. 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:

1510 12TH AVENUE RD STE 200
NAMPA, ID
ZIP 83686
Phone: (208) 302-0600
Fax: (208) 302-0755

The NPI 1467762856 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 10/19/2010 and was last updated on 7/3/2019.

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	163WD0400X	Registered Nurse	Diabetes Educator	N32302	IDAHO	No
2	363LA2200X	Nurse Practitioner	Adult Health	60035	IDAHO	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	Other Provider Identifier Issuer
1	N32302	OTHER	IDAHO	N32302
2	60035	OTHER	IDAHO	APRN-CNP

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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