Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Jeremy Daniel Powell

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1417861535

Jeremy Daniel Powell is a Psychiatric/Mental Health Nurse Practitioner in Boise, Idaho. Practices as a sole proprietor. Licensed in Idaho.

Licensed in
ID
In the registry since
2026

Practice location Address checks out

6945 W Emerald St
Boise, ID 83704-8616
Phone: (208) 515-2273
Show map & directions

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

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 8781322 (ID)

Record details

NPI number1417861535
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 29, 2026
Last updated in NPPESSeptember 29, 2026
Certification dateSeptember 28, 2026

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