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General NPI Number Information
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NPI Number | 1538631189
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Entity Type | Individual
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Provider Name | JENNIFER DAWN RICE MSN, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 12/20/2018
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Last Update Date | 05/29/2025
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Provider Practice Location Address
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Address Line | 2316 N COLE RD STE B
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City | BOISE
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State | ID
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Zip | 83704-7365
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Country | US
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Telephone | 208-929-5203
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Fax |
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Provider Business Mailing Address
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Address Line | 615 SMEED PKWY # 57
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City | CALDWELL
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State | ID
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Zip | 83605-8109
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Country | US
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Telephone | 208-908-3012
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 60215
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License Number State | ID
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Taxonomy #2
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 60215
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License Number State | ID
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