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NPI Code Detail

MEDICARE: JEREMY SLOYER FNP-BC

MEDICARE: JEREMY SLOYER FNP-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner95011207CA
2363LF0000XFamily Nurse Practitioner63182ID
3225400000XRehabilitation Practitioner

General Provider Information

NPI Number : 1801175484
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEREMY SLOYER FNP-BC
Provider Business Mailing Address
First Line : 800 W MAIN ST
Second Line : STE 1460
City : BOISE
State : ID
Zip : 83702-5983
Country : US
Telephone Number : 949-298-0888
Fax Number :
Provider Business Practice Location Address
First Line : 800 W MAIN ST
Second Line : STE 1460
City : BOISE
State : ID
Zip : 83702-5983
Country : US
Telephone Number : 949-298-0888
Fax Number : 208-963-3302
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/12/2011
Last Update Date : 04/14/2026

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Directions to “ JEREMY SLOYER FNP-BC” Practice Location

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