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

Jessica Noel Tiner

Individual provider Nurse Practitioner · NPI 1508623497

Jessica Noel Tiner is a Nurse Practitioner in Boise, Idaho. Qualified in 2023, 3 years ago. Practices with Wellmont Cardiology Services, a 138-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in Idaho and Tennessee.

Years since qualifying
3
Licensed in
ID, TN
In the registry since
2024
Specialties on file
2
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Practice location Address checks out

6140 W Curtisian Ave Ste 102
Boise, ID 83704-0109
Phone: (208) 302-0000
Fax: (208) 302-0220
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 2050 Meadowview Pkwy, Kingsport, TN 37660-7475 — (423) 230-5000
  • 2033 Meadowview Ln Ste 110, Kingsport, TN 37660-7569 — (423) 230-5000
  • 1490 Park Ave Nw Ste 3c, Norton, VA 24273-1631 — (276) 679-8890
  • 127 Health Care Dr Ste 3, Pennington Gap, VA 24277-2853 — (276) 299-5000

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 34438 (TN)
Nurse Practitioner Taxonomy 363L00000X · Licence 2081909 (ID)

Record details

NPI number1508623497
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 6, 2024
Last updated in NPPESApril 20, 2026
Certification dateApril 20, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Wellmont Cardiology Services — 138 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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