Jenifer Shanon Conn, APRN-CNP | |
1510 12th Avenue Rd Ste 200, Nampa, ID 83686 | |
(208) 302-0600 | |
(208) 302-0755 |
Full Name | Jenifer Shanon Conn |
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Gender | Female |
Speciality | Nurse Practitioner - Adult Health |
Location | 1510 12th Avenue Rd Ste 200, Nampa, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467762856 | NPI | - | NPPES |
N32302 | Other | ID | N32302 |
60035 | Other | ID | APRN-CNP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163WD0400X | Registered Nurse - Diabetes Educator | N32302 (Idaho) | Secondary |
363LA2200X | Nurse Practitioner - Adult Health | 60035 (Idaho) | Primary |
Entity Name | Saint Alphonsus Regional Medical Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649357716 PECOS PAC ID: 3476462359 Enrollment ID: O20040204001036 |
Mailing Address | Practice Location Address |
---|---|
Jenifer Shanon Conn, APRN-CNP 3340 E Goldstone Way, Meridian, ID 83642 Ph: (208) 302-0600 | Jenifer Shanon Conn, APRN-CNP 1510 12th Avenue Rd Ste 200, Nampa, ID 83686 Ph: (208) 302-0600 |
Karen L Godard, RNC, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1305 3rd St S, Nampa, ID 83651 Phone: 208-475-5700 Fax: 208-475-5710 | |
Mrs. Carolyn G Barnhart, FNPC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1375 N Happy Valley Rd, Nampa, ID 83687 Phone: 208-809-2869 Fax: 208-809-2868 | |
Nadezhda Kravchuk, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1150 N Sister Catherine Way, Nampa, ID 83687 Phone: 208-302-7000 Fax: 208-302-7055 | |
Guniz Bas Uzer, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 16111 N Brinson St Ste 110, Nampa, ID 83687 Phone: 208-747-0371 | |
Cara Hollingsworth, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9850 W St Lukes Dr, Nampa, ID 83687 Phone: 907-371-1300 | |
Sydney Brown, DNP-APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 700 Caldwell Blvd, Nampa, ID 83651 Phone: 208-809-2892 Fax: 208-809-2893 | |
Mrs. Danielle Marie Fowler, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4424 E Flamingo Ave Ste 300, Nampa, ID 83687 Phone: 208-205-1000 |