Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JEREMY A BASSE, FNP
ActiveMR. JEREMY A BASSE, FNP is a Family Nurse Practitioner healthcare provider located in GARDEN VALLEY, Idaho. NPI 1578726485 is currently active in the NPPES registry. Verify at CMS.
Family Nurse Practitioner · GARDEN VALLEY, ID
Registration Details
- NPI Number
- 1578726485
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 10, 2008 (18.05615257832 yrs)
- Last Updated
- Mar 28, 2011
- Licenses
-
1036 (AK)NP1025 (ID)
Practice Information
- Address
-
856 BANKS LOWMAN ROADGARDEN VALLEY, ID, 836220270Browse ID providers · Browse ZIP 83622
- Phone
- 2084623533
- Fax
- 2084623736
- Primary Specialty
-
Family Nurse Practitioner
363LF0000X
- Additional Specialty
- Family Nurse Practitioner
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.