Jessica Beth Long, AGNP-C Valid NPI

Individual provider · Nurse Practitioner · Eagle, ID

NPI

1194244707

Type

Individual (Type 1)

Primary specialty

Nurse Practitioner

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363L00000X

License number

56895 (ID)

Sex

Female

Sole proprietor

No

Enumerated

2017-09-14

Last updated

2022-07-21