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General NPI Number Information
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NPI Number | 1316881568
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Entity Type | Organization
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Legal Business Name | LEGACY CREEK WOMEN'S WELLNESS, LLC
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Dates
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Enumeration Date | 04/17/2026
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Last Update Date | 04/17/2026
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Provider Practice Location Address
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Address Line | 1329 PARKVIEW AVE
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City | TWIN FALLS
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State | ID
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Zip | 83301
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Country | US
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Telephone | 208-358-0122
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 5937
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City | TWIN FALLS
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State | ID
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Zip | 83303-5937
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Country | US
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Telephone | 208-358-0122
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. JESSICA KATE BIGGS
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Credential | DNP
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Telephone | 208-358-0122
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number |
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License Number State |
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