NPI 1912259037

Michael Jones, RN

Practitioner Driver North Twin Falls, ID

Practice location

Address: 1322 Washington Street North, North Twin Falls, ID 83301-9036
Phone: (208) 733-0740
Mailing address: 1322 Washington Street, North Twin Falls, ID 83301

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence 4578962 (ID)

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Registry record

NPI: 1912259037
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Oct 2012
Record last updated: 14 Jan 2014

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.