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

Tennessee Phs PC

Organization Nurse Practitioner · NPI 1063786648

Tennessee Phs PC is a Nurse Practitioner in Boise, Idaho. Registered with an NPI since 2012.

In the registry since
2012
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

950 W Bannock St Ste 1100
Boise, ID 83702-6140
Phone: (877) 260-4747
Fax: (901) 261-4867
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X

Record details

NPI number1063786648
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationProvider Health Services LLC
Authorized official Nicole Howard — Cfo · (337) 991-9276
NPI enumeratedFebruary 29, 2012
Last updated in NPPESJuly 2, 2014
Mailing address1509 Dulles Drive, Lafayette, LA 70506

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