SearchIdaho367A00000X

Jessica Bennett, CNM

NPI 1699163170 · on the registry since 2015

Practice

Address
3679 S Shortleaf Ave
Boise, ID 83716
Phone
(208) 391-3995

Registry record

Primary taxonomy
367A00000X
367A00000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-08-26

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