NPI 1003339268

Jennifer Woodburn

Practitioner Nurse Practitioner Boise, ID

Practice location

Address: 190 E Bannock St, Boise, ID 83712-6241
Phone: (208) 381-5015

Registered specialties (3)

Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363L00000X Licence 71924 (ID)

Other Nurse Practitioner providers in Idaho →

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363L00000X Licence RN166862 (AZ)

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363L00000X Licence AP10354 (AZ)

Registry record

NPI: 1003339268
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Jul 2017
Record last updated: 9 May 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.