Provider Demographics
NPI:1669408860
Name:SEYS, JANE E (NP CNS)
Entity type:Individual
Prefix:DR
First Name:JANE
Middle Name:E
Last Name:SEYS
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Gender:F
Credentials:NP CNS
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Mailing Address - Street 1:7301 W. E MERALD ST. SUITE 103
Mailing Address - Street 2:CORIZON
Mailing Address - City:BOISE
Mailing Address - State:ID
Mailing Address - Zip Code:83704
Mailing Address - Country:US
Mailing Address - Phone:208-322-3555
Mailing Address - Fax:208-322-6809
Practice Address - Street 1:13500 S. PLEASANT VALLEY RD
Practice Address - Street 2:IDAHO STATE CORRECTIONAL INSTITUTION
Practice Address - City:KUNA
Practice Address - State:ID
Practice Address - Zip Code:83634
Practice Address - Country:US
Practice Address - Phone:208-336-0740
Practice Address - Fax:574-722-9523
Is Sole Proprietor?:No
Enumeration Date:2006-06-23
Last Update Date:2013-05-22
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Provider Licenses
StateLicense IDTaxonomies
IN70000035A364SP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0808XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN111810YMedicare ID - Type Unspecified
IN890000236Medicare ID - Type UnspecifiedRAILROAD MEDICARE
INS44484Medicare UPIN