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

Justin Michael Nelson

Individual provider Internal Medicine Physician · NPI 1700588407

Justin Michael Nelson is an Internal Medicine Physician in Boise, Idaho. Practices as a sole proprietor. Licensed in Idaho.

Licensed in
ID
In the registry since
2023

Practice location Address checks out

500 W Fort St # 111R
Boise, ID 83702-4599
Phone: (208) 422-1314
Fax: (208) 422-1388
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence MRM-2235 (ID)

Record details

NPI number1700588407
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 20, 2023
Last updated in NPPESMay 2, 2023
Certification dateMay 2, 2023
Mailing address500 W Fort St # 111r, Boise, ID 83702-4599

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