Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jennifer Rae Stallings, NP

Individual provider Nurse Practitioner · NPI 1780253989

Jennifer Rae Stallings, NP is a Nurse Practitioner in Coeur D Alene, Idaho. Qualified in 2020, 6 years ago. Practices as a sole proprietor, works from 3 locations and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
6
Licensed in
ID
In the registry since
2021
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

2120 W Ironwood Center Dr
Coeur D Alene, ID 83814-2639
Phone: (208) 625-6944
Fax: (208) 625-6945
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 25 Jacobs Gulch Rd, Kellogg, ID 83837-2023 — (208) 784-1221
  • 11120 Ne 33rd Pl Ste 202, Bellevue, WA 98004-1444 — (206) 823-1004

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 39413 (ID)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 67570 (ID)

Record details

NPI number1780253989
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorYes
NPI enumeratedJune 22, 2021
Last updated in NPPESSeptember 16, 2025
Certification dateSeptember 16, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Coeur D Alene