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

JESSICA BETH LONG, AGNP-C

Active

JESSICA BETH LONG, AGNP-C is a Nurse Practitioner healthcare provider located in EAGLE, Idaho. NPI 1194244707 is currently active in the NPPES registry. Verify at CMS.

Nurse Practitioner · EAGLE, ID

Registration Details

NPI Number
1194244707
Provider Type
Individual
Gender
Female
NPI Issued
Sep 14, 2017 (8.8764560714924 yrs)
Last Updated
Jul 21, 2022
License
56895 (ID)

Practice Information

Address
420 E STATE ST STE 135
EAGLE, ID, 836164898
Browse ID providers · Browse ZIP 83616
Phone
2084029956
Primary Specialty
Nurse Practitioner
363L00000X

Other Nurse Practitioner Providers in EAGLE, ID

Name Credential NPI
KATHERINE T COATE NP 1619939451
SHARON L KRASOVICH M.S., RN, FNP-BC 1437598059
SHAWNA THOMAS 1871197533
BRIGETTE MARIE MCCOY RN, MSN, FNP-S 1225792021
NICK CHRISTENSEN NP 1619750619
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.