NPI 1003516758

Jessica Jerdin, PAC

Practitioner Physician Assistant Boise, ID

Practice location

Address: 6165 W Emerald St, Boise, ID 83704-8613
Phone: (208) 302-3900
Fax: (208) 302-3955
Mailing address: PO Box 190930, Boise, ID 83719-0930

Registered specialties (2)

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 3081018 (ID)

Other Physician Assistant providers in Idaho →

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA224310 (OR)

Registry record

NPI: 1003516758
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Mar 2023
Record last updated: 5 Jun 2026

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.