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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. JEFFERY THOMAS LY, RN

Active Sole Proprietor

MR. JEFFERY THOMAS LY, RN is a Registered Nurse healthcare provider located in CALDWELL, Idaho. NPI 1194229310 is currently active in the NPPES registry. Verify at CMS.

Registered Nurse · CALDWELL, ID

Registration Details

NPI Number
1194229310
Provider Type
Individual
Gender
Male
NPI Issued
Mar 21, 2018 (8.3561925250097 yrs)
Last Updated
Mar 21, 2018
License
46147 (ID)
Sole Proprietor
Yes

Practice Information

Address
11961 PHEASANT RUN ST
CALDWELL, ID, 836055082
Browse ID providers · Browse ZIP 83605
Phone
2085908166
Primary Specialty
Registered Nurse
163W00000X

Other Registered Nurse Providers in CALDWELL, ID

Name Credential NPI
MS. COTY LYNN FREEMAN RN 1215431432
MRS. SARINA L FOLWELL RN 1609357003
SHERRI LYNN TALFORD 1649893751
LESLIE ANNETTE HAVRILAK 1164045274
MS. RITA BOMAN RN 1730702663
JENNY LYNN SELBY RN 1801419734
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.