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

Jensen G Phillips

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1619433703

Jensen G Phillips is a Nurse Practitioner in Boise, Idaho. Qualified in 2018, 8 years ago. Practices with St Lukes Clinic-Treasure Valley LLC, a 1,150-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Idaho.

Years since qualifying
8
Licensed in
ID
In the registry since
2019
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Practice location Address checks out

703 S Americana Blvd
Boise, ID 83702-5099
Phone: (208) 706-6375
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 58676 (ID)

Record details

NPI number1619433703
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 14, 2019
Last updated in NPPESApril 6, 2021
Certification dateApril 6, 2021
Mailing address1276 W River St Ste 100, Boise, ID 83702-7083

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice St Lukes Clinic-Treasure Valley Llc — 1150 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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