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Contact Information

JESSICA BRUCE
300 E JEFFERSON ST
BOISE, ID83712-6246
 Phone: 208-381-4100
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Adult Health

363LA2200X 50 Nurse Practitioner
 

Gerontology

363LG0600X 50 Nurse Practitioner
 

Primary Care

363LP2300X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for JESSICA BRUCE · (Female)

NPI # 1205029162
Status Active
Credentials
Entity Individual
Enumeration date 08/23/2007
Last updated 09/11/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • ID License # NP-1386A
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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