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

Miss. Jennifer A. Wilson, CST

Individual provider Surgical Technologist · NPI 1700063559

Miss. Jennifer A. Wilson, CST is a Surgical Technologist in Boise, Idaho. Practices as a sole proprietor. Licensed in Idaho.

Licensed in
ID
In the registry since
2008

Practice location Address checks out

6500 W Emerald St
Boise, ID 83704-8736
Phone: (208) 377-0777
Fax: (208) 377-1070
Show map & directions

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

Specialties & licences

Surgical Technologist (primary) Taxonomy 246ZS0410X · Licence 89338 (ID)

Record details

NPI number1700063559
Entity typeIndividual (Type 1)
GenderFemale
Credentials CST
Sole proprietorYes
NPI enumeratedJanuary 23, 2008
Last updated in NPPESJanuary 23, 2008

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