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

Jacob Chamberlain, RN

Individual provider General Practice Registered Nurse · NPI 1053045153

Jacob Chamberlain, RN is a General Practice Registered Nurse in Boise, Idaho. Practices as a sole proprietor. Licensed in Idaho.

Licensed in
ID
In the registry since
2022
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

500 W Fort St
Boise, ID 83702-4599
Phone: (208) 422-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Registered Nurse (primary) Taxonomy 163WG0000X · Licence 71945 (ID)

Record details

NPI number1053045153
Entity typeIndividual (Type 1)
GenderMale
Credentials RN
Sole proprietorYes
NPI enumeratedJuly 13, 2022
Last updated in NPPESJuly 13, 2022
Certification dateJuly 13, 2022
Mailing address500 W Fort St, Boise, ID 83702-4599

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