Search › Idaho › 363L00000X
Jeanna Rendo, NP-C
NPI 1205466281 · on the registry since 2020
Practice
- Address
- 811 Nw 12th St
Fruitland, ID 83619 - Phone
- (208) 452-7450
- Organisation at this address
- Ct Derm Pc
Mcnally Mobile Care PllcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 4
Additional practice sites
- 113 S A St, Grangeville, ID
Registry record
- Primary taxonomy
- 363L00000X
363L00000X
- Also registered as
- 363LG0600X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-02-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho