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

Jennifer Woodburn

Individual provider Nurse Practitioner · NPI 1003339268

Jennifer Woodburn is a Nurse Practitioner in Boise, Idaho. Qualified in 2020, 6 years ago. Practices with High Desert Heart and Vascular, a 10-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona and Idaho.

Years since qualifying
6
Licensed in
AZ, ID
In the registry since
2017
Specialties on file
3
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Practice location Address checks out

190 E Bannock St
Boise, ID 83712-6241
Phone: (208) 381-5015
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 42104 N Venture Dr Ste D118, Anthem, AZ 85086-3837 — (623) 505-6565

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 71924 (ID)
Nurse Practitioner Taxonomy 363L00000X · Licence RN166862 (AZ)
Nurse Practitioner Taxonomy 363L00000X · Licence AP10354 (AZ)

Record details

NPI number1003339268
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 19, 2017
Last updated in NPPESMay 9, 2022
Certification dateNovember 7, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice High Desert Heart And Vascular — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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