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

Mrs. Lisa M Wilkerson, PA

Individual provider Medical Physician Assistant · NPI 1427065788

Mrs. Lisa M Wilkerson, PA is a Medical Physician Assistant in Boise, Idaho. Licensed in Idaho and Texas. Registered with an NPI since 2006.

Licensed in
ID, TX
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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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

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA-2140 (ID)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA05035 (TX)

Record details

NPI number1427065788
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 1, 2006
Last updated in NPPESAugust 31, 2023
Certification dateAugust 31, 2023

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