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

Idaho NP Clinic PLLC

Organization Primary Care Nurse Practitioner · NPI 1790370765

Idaho NP Clinic PLLC is a Primary Care Nurse Practitioner in Boise, Idaho. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1883 Wildwood St Ste C
Boise, ID 83713-5146
Phone: (662) 571-7651
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X

Record details

NPI number1790370765
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jennifer Hofer — Owner · (208) 901-7006
NPI enumeratedMarch 2, 2021
Last updated in NPPESMay 21, 2021
Certification dateApril 9, 2021
Mailing address1883 Wildwood St Ste C, Boise, ID 83713-5146

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