Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Juliann C Visser, PA-C

Individual provider Physician Assistant · NPI 1922309848

Mrs. Juliann C Visser, PA-C is a Physician Assistant in Boise, Idaho. Qualified in 2010, 16 years ago. Practices with Ada Dermatology P A, a 5-clinician group. Licensed in Idaho.

Years since qualifying
16
Licensed in
ID
In the registry since
2010
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

6454 W Emerald St
Boise, ID 83704-8734
Phone: (208) 377-0820
Fax: (208) 375-8046
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA874 (ID)

Record details

NPI number1922309848
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 9, 2010
Last updated in NPPESMarch 20, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Ada Dermatology P A — 5 clinicians
Accepts Medicare assignment Not indicated

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