Jeppesen, Nichole Ann

Jeppesen, Nichole Ann is an individual health care provider with primary practice located at 10 Madison Professional Park , Rexburg ID 83440-2058. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Jeppesen, Nichole Ann can be contacted via phone (208) 656-9467.

Contact Information

Primary practice address
10 Madison Professional Park Rexburg ID 83440-2058
Phone: (208) 656-9467
Fax: (208) 656-9466
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X NP-865 Idaho
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X NP-865A Idaho

Profile Details

NPI number 1275794851
LBN Legal business name Jeppesen, Nichole Ann
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2008
Last updated Nov 3rd, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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