SearchIdaho101YP2500X

Jenelle Hampson

NPI 1316654908 · on the registry since 2022 · sole proprietor

Practice

Address
1014 E Indiana Ave
Coeur D Alene, ID 83814
Phone
(949) 373-6676

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Also registered as
101YP2500X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-01-12

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