Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JENNIFER MAHLBERG-GRANT, APRN
ActiveJENNIFER MAHLBERG-GRANT, APRN is a Women's Health Nurse Practitioner healthcare provider located in EAGLE, Idaho. NPI 1982126686 is currently active in the NPPES registry. Verify at CMS.
Women's Health Nurse Practitioner · EAGLE, ID
Registration Details
- NPI Number
- 1982126686
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 13, 2017 (9.0461955853721 yrs)
- Last Updated
- Jan 12, 2021
- Licenses
-
53418 (ID)APRN002287 (NV)
Practice Information
- Address
-
951 E PLAZA DRSTE 110EAGLE, ID, 836166567Browse ID providers · Browse ZIP 83616
- Phone
- 7757385850
- Fax
- 7757385856
- Primary Specialty
-
Women's Health Nurse Practitioner
363LW0102X
- Additional Specialty
- 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.