JENNIFER MAHLBERG-GRANT APRN
NPI 1982126686
Nurse Practitioner - Women's Health in Eagle, ID

Active since July 13, 2017
951 E PLAZA DR, STE 110, EAGLE, ID 83616(775) 738-5850(775) 738-5856 Get Directions Write a Review

NPPES record last updated: January 12, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 12, 2021, Jul 19, 2017, Jul 13, 2017 (3 updates tracked since 2017).

About Jennifer Mahlberg-grant Aprn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNIFER MAHLBERG-GRANT APRN (NPI 1982126686) is an individual women's health provider in Eagle, Idaho, licensed in Idaho (53418) and active in the NPI registry since July 2017.

NPPES Registry Identity

NPI1982126686
Entity TypeIndividualFemale
Primary Taxonomy363LW0102X
Provider Legal NameJENNIFER MAHLBERG-GRANTCredential: APRN
Location Address951 E PLAZA DR, STE 110Eagle, ID 83616-6567
Mailing Address3325 Research WayCarson City, NV 89706-7913 · (775) 888-6610 · Fax (775) 888-4904
Fax(775) 738-5856
Sole ProprietorNo
Enumeration DateJuly 13, 2017
Last NPPES UpdateJanuary 12, 20213 updates tracked since enumeration
NPPES CertifiedJanuary 12, 2021
NPI 1982126686 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
License Licensed in ID · 53418
Also ListedNurse PractitionerTaxonomy 363L00000X · License APRN002287 (NV)
951 E PLAZA DR, Eagle, ID 83616

Other Identifiers 1

OtherAPRN002287NV · Aprn License

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner
951 E PLAZA DR, STE 110
EAGLE, ID 83616
Clinical Medical Laboratory
951 E PLAZA DR, SUITE 170
EAGLE, ID 83616
Nurse Practitioner (Family)
951 E PLAZA DR, SUITE 170
EAGLE, ID 83616
Counselor (Mental Health)
951 E PLAZA DR
EAGLE, ID 83616
Chiropractor
951 E PLAZA DR
EAGLE, ID 83616
Nurse Practitioner (Family)
951 E PLAZA DR, SUITE NUMBER 110
EAGLE, ID 83616
Clinic/Center
951 E PLAZA DR, SUITE 150
EAGLE, ID 83616
Nurse Practitioner (Family)
951 E PLAZA DR, #170
EAGLE, ID 83616

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Mahlberg-grant's NPI number?

The NPI number for Jennifer Mahlberg-grant is 1982126686. It was assigned to this individual provider in the NPPES registry on July 13, 2017.

Where is Jennifer Mahlberg-grant located?

Jennifer Mahlberg-grant practices at 951 E Plaza Dr Ste 110, Eagle, ID 83616. The listed phone number is (775) 738-5850.

What is Jennifer Mahlberg-grant's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

When was this NPI record last updated?

The NPPES record for Jennifer Mahlberg-grant was last updated on January 12, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.