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

Nicole Marie Johnston

Individual provider Community Health Worker · NPI 1811748379

Nicole Marie Johnston is a Community Health Worker in Boise, Idaho. Licensed in Idaho. Registered with an NPI since 2024.

Licensed in
ID
In the registry since
2024

Practice location Address checks out

6305 W Overland Rd
Boise, ID 83709-3029
Phone: (208) 605-3663
Show map & directions

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

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X (ID)

Record details

NPI number1811748379
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 1, 2024
Last updated in NPPESApril 1, 2024
Certification dateApril 1, 2024

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