IndividualActive
Jennifer Mahlberg-Grant, APRN
NPI 1982126686 · Women's Health Nurse Practitioner · Eagle, ID
Provider details
- NPI number
- 1982126686
- Entity type
- Individual
- Primary specialty
- Women's Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- No
- License
- 53418 (ID)
Practice location
951 E Plaza Dr
Ste 110
Eagle, ID 83616-6567
Phone: (775) 738-5850
Fax: (775) 738-5856
Mailing address
3325 Research Way
Carson City, NV 89706-7913
Registry dates
- Enumerated
- 2017-07-13
- Last updated
- 2021-01-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.