Mary Paige Jeffress, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APN00541 Issued in NV

Practice address

4750 N Five Mile Rd
Boise, ID 83713-2715

Phone

(208) 375-0500

Fax

(208) 375-4310

NPI assigned

Apr 20, 2006

Last updated

Sep 15, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284508800000",
    "number": "1326003377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2808 S DENALI PL",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836428103",
            "telephone_number": "208-288-1229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4750 N FIVE MILE RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837132715",
            "telephone_number": "208-375-0500",
            "fax_number": "208-375-4310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEFFRESS",
        "first_name": "MARY",
        "middle_name": "PAIGE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-20",
        "last_updated": "2010-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "APN00541",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2407007",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Calypso Esperanza Jay
• JBC Language and Behavior Therapy
• JC Hospitalists PLLC (JC Hospitalists)
• JCW Psychiatry PLLC
• Jefferson Day Surgery Center
• Jeffrey B. Kesling, DDS
• Jeffrey C. Johnson
• Jeffrey F Hartford MD (Northview Medical Clinic)
• Jeffrey L. Chandler, DPM
• Lynne Aline Jellum, D.C.

• Family Nurse Practitioner in Boise, ID
• Providers in Boise, ID by specialty
• Family Nurse Practitioner in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.