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Contact Information

JAYSON P SMITH, NP
4971 W OVERLAND RD
BOISE, ID83705-2822
 Phone: 208-472-5050
 Fax: 208-472-5051
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Neonatal

363LN0000X 50 Nurse Practitioner
 

Pediatrics

363LP0200X 50 Nurse Practitioner
 

Primary Care

363LP2300X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for JAYSON P SMITH · (Male)

NPI # 1982202743
Status Active
Credentials NP (Nurse Practitioner)
Entity Individual
Enumeration date 10/14/2020
Last updated 09/02/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • ID License # 65851
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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