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Contact Information

JESSICA W COUNCELL, CNM
1072 N LIBERTY ST STE 100
BOISE, ID83704
 Phone: 208-302-1200
 Fax: 208-302-1255
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Midwife

176B00000X
Indicates primary specialty

NPI Profile & details for JESSICA W COUNCELL · (Female)

NPI # 1982230710
Status Active
Credentials CNM (Certified Nurse Midwife)
Entity Individual
Enumeration date 03/12/2020
Last updated 06/09/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • ID License # 59664
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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