Nurse Practitioner
FUNCTIONAL MEDICINE OF NORTH IDAHO, PLLC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1750920401 · enumerated 2019-12-29 · record updated 2024-07-01. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: JESSICA LAPLANTE ARNP, Owner · (208) 635-5265
Addresses and phones
- Practice location 8382 N WAYNE DR STE 204, HAYDEN, ID, 83835-6028 (208) 635-5265 Fax (208) 635-5218 Google Maps Apple Maps OpenStreetMap
- Mailing address 1399 N BIZTOWN LOOP, HAYDEN, ID, 83835-5044 (208) 635-5265 Fax (208) 635-5218 Google Maps Apple Maps OpenStreetMap
Specialties
- Clinic/Center 261Q00000X
- Nurse Practitioner 363L00000X · Primary
In this directory
Locations and evidence
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Practice location
HAYDEN, ID, 838356028
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.