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

Jeremy Gardner, APRN-CNP

Individual provider Family Nurse Practitioner · NPI 1902539976

Jeremy Gardner, APRN-CNP is a Family Nurse Practitioner in Boise, Idaho. Works from 6 locations. Licensed in Idaho.

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

Practice location Address checks out

425 W Bannock St
Boise, ID 83702-6035
Phone: (208) 343-6458
Show map & directions

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

Additional practice locations (5)

  • 190 E Bannock St, Boise, ID 83712-6241 — (208) 381-2222
  • 520 S Eagle Rd, Meridian, ID 83642-6351 — (208) 706-5000
  • 2235 E Gala St, Meridian, ID 83642-8026 — (208) 489-1431
  • 1200 Garrity Blvd, Nampa, ID 83687-3402 — (208) 695-2107
  • 9850 W St Lukes Dr, Nampa, ID 83687-7912 — (208) 505-2000

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 54041 (ID)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 54041 (ID)

Record details

NPI number1902539976
Entity typeIndividual (Type 1)
GenderMale
Credentials APRN-CNP
Sole proprietorNo
NPI enumeratedJuly 6, 2022
Last updated in NPPESFebruary 12, 2024
Certification dateFebruary 12, 2024

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