JORDAN M WISNER PHD
NPI 1255847786
Psychologist in Boise, ID
About Jordan M Wisner Phd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JORDAN M WISNER PHD (NPI 1255847786) is an individual psychologist in Boise, Idaho and active in the NPI registry since December 2017. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jordan M Wisner Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jordan Wisner's NPI number?
The NPI number for Jordan Wisner is 1255847786. It was assigned to this individual provider in the NPPES registry on December 20, 2017.
Where is Jordan Wisner located?
Jordan Wisner practices at 444 W Fort St Fl 2, Boise, ID 83702. The listed phone number is (208) 422-1018.
What is Jordan Wisner's specialty?
The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.
Is Jordan Wisner enrolled in Medicare?
Yes. Jordan Wisner is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Jordan Wisner was last updated on August 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.