Jan Sund FNP,PC

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

NP282-A Issued in ID

Legal business name

JAN SUND FNP,PC

Practice address

496 Shoup Ave W Ste C
Twin Falls, ID 83301-5043

Phone

(208) 733-6677

Fax

(208) 733-6674

NPI assigned

Oct 10, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jan A Sund, FNP.PC

Title

President

Phone

(208) 733-6677

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912095563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "496 SHOUP AVE W STE C",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833015043",
            "telephone_number": "208-733-6677",
            "fax_number": "208-733-6674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "496 SHOUP AVE W STE C",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833015043",
            "telephone_number": "208-733-6677",
            "fax_number": "208-733-6674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAN SUND FNP,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SUND",
        "authorized_official_first_name": "JAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-733-6677",
        "authorized_official_credential": "FNP.PC"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "ID",
            "license": "NP282-A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Lynn Jackson, DPT, PT
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• Kara Jacobsen, LSW
• Camilyn Jahn, CPM, LM
• James T Annest MD PC
• Sarah Janson
• Troy Jaques
• Gardie LN Jean-Louis
• Joshua Alan Jenkins, D.M.D.
• Misty Lee Jenkins

• Health Maintenance Organization in Twin Falls, ID
• Providers in Twin Falls, ID by specialty
• Health Maintenance Organization in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.