Jennifer A. Southard in Meridian - Family Medicine

Jennifer A. Southard - NPI 1023216538

Jennifer A. Southard is a Family Medicine in Meridian, Idaho. Jennifer A. Southard practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Jennifer A. Southard is 1023216538. The last update date is 2016-11-17.

Jennifer A. Southard's current location address is 3340 East Goldstone Way, Meridian, Idaho. You can contact this provider via phone number 2083025100 and fax number 2083025155. The mailing address for Jennifer A. Southard is 3340 East Goldstone Way, Meridian, Idaho. To know further, please read the information below!

Provider Profile Detail

Provider Name Jennifer A. Southard
Address 3340 East Goldstone Way, Meridian, Idaho
Phone Number 2083025100
Fax Number 2083025155
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1023216538
Provider Enumeration Date 2007-07-05
Last Updated Date 2016-11-17

Provider Mailing Address Detail

Address 3340 East Goldstone Way
City Meridian
State Idaho (ID)
Post Code 83642
Phone Number 2083025100
Fax Number 2083025155

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No RS2000-0386
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
RS2000-0386 NM TRAINING LICENSE

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FAQs about Jennifer A. Southard

What is the unique identification code assigned to Jennifer A. Southard by the Centers for Medicare & Medicaid Services?

The Jennifer A. Southard has been issued the NPI (National Provider Identifier) 1023216538. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Jennifer A. Southard's facilities are geographically located?

The facilities of Jennifer A. Southard are physically situated at the following location: 3340 East Goldstone Way, Meridian, ID, 83642.

What is Jennifer A. Southard's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Jennifer A. Southard is Family Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Q00000X.

On what date did Jennifer A. Southard receive its 1023216538 assignment from the Centers for Medicare & Medicaid Services?

The Jennifer A. Southard was assigned its 1023216538 on 2007-07-05, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Jennifer A. Southard most recently updated?

The details pertaining to the Jennifer A. Southard, including its address, specialty, and other relevant information, were last refreshed on 2016-11-17.

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