Jennifer Chaffee, RN
Individual provider Active NPI Registered Nurse · Lewiston, ID
NPI 1992390553 · NPPES record last updated Mar 5, 2021
Key facts
- NPI
- 1992390553
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 64549 (ID)
- Practice address
- 1118 F Street, 2ND Floor
Lewiston, ID 83501 - Phone
- (208) 799-4440
- Fax
- (208) 799-5171
- NPI assigned
- Mar 5, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 64549 | ID | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 64549 | ID | Yes |
Addresses
Primary practice location
1118 F Street, 2ND Floor
Lewiston, ID 83501
Mailing address
1118 F St
Lewiston, ID 83501-1930
Phone (208) 799-4440
Other providers in Lewiston, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 5, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.