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

Jill Reena Gustafson, CNM

Individual provider Registered Nurse · NPI 1992224166

Jill Reena Gustafson, CNM is a Registered Nurse in Boise, Idaho. Practices as a sole proprietor. Licensed in Idaho.

Licensed in
ID
In the registry since
2017
Specialties on file
2
What do these letters mean?
CNM — Certified Nurse-Midwife
An advanced practice nurse who provides prenatal care and delivers babies.

See every abbreviation used in this directory →

Practice location Address checks out

4948 W Kootenai St Ste 100
Boise, ID 83705-2002
Phone: (208) 510-0261
Fax: (208) 225-4243
Show map & directions

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

Specialties & licences

Advanced Practice Midwife (primary) Taxonomy 367A00000X · Licence 56670 (ID)
Registered Nurse Taxonomy 163W00000X · Licence 56670 (ID)

Record details

NPI number1992224166
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNM
Sole proprietorYes
NPI enumeratedSeptember 19, 2017
Last updated in NPPESMarch 9, 2022
Certification dateMarch 9, 2022

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