NPI 1083313159

Kacie Marie Peacock, RN

Practitioner Registered Nurse Plummer, ID

Practice location

Address: 4440 Highway 5, Plummer, ID 83851-9681
Phone: (559) 859-3168

Registered specialties (3)

Registered Nurse Primary

Nursing Service Providers Taxonomy 163W00000X Licence 69205 (ID)

Other Registered Nurse providers in Idaho →

Registered Nurse

Nursing Service Providers Taxonomy 163W00000X Licence RN61343748 (WA)

Registered Nurse

Nursing Service Providers Taxonomy 163W00000X Licence 758195 (CA)

Registry record

NPI: 1083313159
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Feb 2023
Record last updated: 28 Feb 2023

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.