NPI 1003817701

Jayne S Shoda, MSNFNPC

Practitioner Nurse Practitioner Coeur D Alene, ID

Practice location

Address: 1983 E Lookout Dr, Coeur D Alene, ID 83815-7046
Phone: (208) 964-0701
Mailing address: 915 W. Emma Ave, Coeur D Alene, ID 83814

Registered specialties

Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363L00000X Licence NP956A (ID)

Other Nurse Practitioner providers in Idaho →

Registry record

NPI: 1003817701
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 Aug 2005
Record last updated: 7 Jul 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.