Jessica B. Long, AGNP-C
Nurse Practitioner · Eagle, ID
UnclaimedAGNP-CNPI 1194244707
- Primary taxonomy
- 363L00000X
- Enumerated
- 2017-09-14
- Practice location
- Eagle, ID
- Last NPPES update
- 2022-07-21
State licenses
- ID · Nurse practitioner · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.