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

Jamie Lynn Widman, PA-S

Individual provider Physician Assistant · NPI 1972241826

Jamie Lynn Widman, PA-S is a Physician Assistant in Kuna, Idaho. Qualified in 2023, 3 years ago. Practices with Alliance Medical Group LLC, a 130-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
3
Licensed in
ID
In the registry since
2022
Specialties on file
2

Practice location Address checks out

1474 N Meridian Rd
Kuna, ID 83634-2041
Phone: (208) 809-2885
Fax: (208) 809-2886
Show map & directions

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

Additional practice locations (1)

  • 122 E 1700 S, Provo, UT 84606-5644 — (208) 953-3888

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA-2617 (ID)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1972241826
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-S
Sole proprietorNo
NPI enumeratedMay 21, 2022
Last updated in NPPESApril 25, 2024
Certification dateApril 25, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Alliance Medical Group Llc — 130 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

Other providers in Kuna