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Contact Information

JENNIFER BABCOCK
1115 12TH AVE RD
NAMPA, ID83686-5738
 Phone: 208-498-1080
 Fax: 208-498-1081
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for JENNIFER BABCOCK · (Female)

NPI Number 1972864833
Status Active
Credentials
Entity Individual
Enumeration date 06/06/2012
Last updated 07/22/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • ID License # NP-1148A
  • WA License # 60285078
Hospital affiliation(s)
  • ST LUKES REGIONAL MEDICAL CENTER - (Acute Care)
    190 EAST BANNOCK STREET
    BOISE, ID 83712
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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