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

Jordan M Wisner, PHD

Individual provider Psychologist · NPI 1255847786

Jordan M Wisner, PHD is a Psychologist in Boise, Idaho. Registered with an NPI since 2017.

In the registry since
2017
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Practice location Address checks out

444 W Fort St Fl 2
Boise, ID 83702-4535
Phone: (208) 422-1018
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X

Record details

NPI number1255847786
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedDecember 20, 2017
Last updated in NPPESAugust 30, 2023
Certification dateAugust 30, 2023
Mailing address444 W Fort St Fl 2, Boise, ID 83702-4535

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