JENNAVERE RENAE BALL
Individual Provider (NPI-1)
Active
Physician Assistant
Provider Information
- NPI Number
1194508101- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 215 E HAWAII AVE STE 170, NAMPA, ID, 836866011
- Phone
- (208) 302-6000
- Fax
- (208) 302-5455
Specialties & Taxonomies
Physician Assistant
Primary License: ID #4571487