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Mrs. JEANNIE ANNE ARCHER AGNP

Individual Provider (NPI-1) Active

Nurse Practitioner

Provider Information

NPI Number
1396265369
Provider Type
Individual Provider (NPI-1)
Credentials
AGNP
Status
Active

Contact & Location

Address
1421 CLEVELAND BLVD, CALDWELL, ID, 836053861
Phone
(208) 409-8966

Specialties & Taxonomies

Nurse Practitioner Primary License: ID #55871

All Addresses

LOCATION

1421 CLEVELAND BLVD

CALDWELL, ID, 836053861

(208) 409-8966

MAILING

1421 CLEVELAND BLVD

CALDWELL, ID, 836053861

(208) 409-8966