Most Relevant Information
Provider Data
| NPI Number: | 1003817701 |
| Provider Name: | JAYNE S SHODA MSN, FNP-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363L00000X |
| Specialty: | Nurse Practitioner |
| License Number: | NP956A |
Most Important Dates
| Enumeration Date: | 08/03/2005 |
| Last Updated: | 07/07/2024 |
Provider Practice Location
1983 E LOOKOUT DR
COEUR D ALENE
ID
838157046
Practice Location Phone/Fax
| Phone: | 2089640701 |
| Fax: |
Provider Mailing Location
915 W. EMMA AVE
COEUR D ALENE
ID
83814
Provider Mailing Phone/Fax
| Phone: | 2089640701 |
| Fax: | 8183654031 |