| Jennifer Sanderson, NP | |
|
190 W Burnside, Ste C, Chubbuck, ID 83202-2411 | |
| (208) 417-8842 | |
| (833) 728-0327 |
| Full Name | Jennifer Sanderson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 190 W Burnside, Chubbuck, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730582271 | NPI | - | NPPES |
| 1679183388 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | NP1511A (Idaho) | Primary |
| Entity Name | Health Innovations |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679183388 PECOS PAC ID: 1951720341 Enrollment ID: O20201005001310 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Sanderson, NP 190 W Burnside, Ste C, Chubbuck, ID 83202-2411 Ph: (208) 417-8842 | Jennifer Sanderson, NP 190 W Burnside, Ste C, Chubbuck, ID 83202-2411 Ph: (208) 417-8842 |
Justin Gregory Merzlock, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4511 Zebe Ave, Chubbuck, ID 83202 Phone: 208-904-4780 Fax: 208-904-4832 | |
Dr. Scott Robert Barlow, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 476 E Chubbuck Rd, Chubbuck, ID 83202 Phone: 208-233-9898 Fax: 208-232-8566 | |
Patricia Stadler, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 570 Redman St, Chubbuck, ID 83202 Phone: 602-703-4196 | |
Heidi Winder, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 476 E Chubbuck Rd, Chubbuck, ID 83202 Phone: 208-233-9898 Fax: 208-232-8566 | |
Margo Northrup, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4650 Hawthorne Rd Ste 3b, Chubbuck, ID 83202 Phone: 208-252-5621 Fax: 208-648-4167 | |
Hyrum Davenport, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4650 Hawthorne Rd Ste 3b, Chubbuck, ID 83202 Phone: 208-252-5621 Fax: 208-648-4167 | |
Brandon Smith, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5067 Camden St, Chubbuck, ID 83202 Phone: 208-840-0044 |