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

Jade Vantrease, MD

Individual provider Internal Medicine Physician · NPI 1225897408

Jade Vantrease, MD is an Internal Medicine Physician in Boise, Idaho. Licensed in Idaho. Registered with an NPI since 2024.

Licensed in
ID
In the registry since
2024
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

500 W Fort St # 111R
Boise, ID 83702-4599
Phone: (208) 422-1000
Fax: (208) 422-1536
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence MRM-2361 (ID)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1225897408
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 18, 2024
Last updated in NPPESApril 30, 2024
Certification dateApril 30, 2024
Mailing address500 W Fort St # 111r, Boise, ID 83702-4599

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