IDAHO NP CLINIC PLLC
NPI 1790370765
Nurse Practitioner - Primary Care in Boise, ID

Q: What is Idaho Np Clinic PLLC's NPI number?

The NPI number for Idaho Np Clinic PLLC is 1790370765. It was assigned to this organization in the NPPES registry on March 2, 2021.

Q: What is Idaho Np Clinic PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Active since March 02, 2021

1883 WILDWOOD ST STE C, BOISE, ID 83713(662) 571-7651 Get Directions Write a Review

NPPES record last updated: May 21, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 21, 2021, Apr 1, 2021, Mar 2, 2021 (3 updates tracked since 2021).

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About Idaho Np Clinic Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IDAHO NP CLINIC PLLC (NPI 1790370765) is a healthcare organization registered as a primary care in Boise, Idaho and active in the NPI registry since March 2021. The organization lists Jennifer Hofer, Owner, as its authorized official.

NPPES Registry Identity

NPI1790370765

Entity TypeOrganization

Primary Taxonomy363LP2300X

Legal Business NameIDAHO NP CLINIC PLLC

Location Address1883 WILDWOOD ST STE CBoise, ID 83713-5146

Mailing Address1883 Wildwood St Ste CBoise, ID 83713-5146 · (208) 901-7006

Phone(662) 571-7651

Organization SubpartNo

Authorized OfficialJennifer HoferOwner · (208) 901-7006

Enumeration DateMarch 2, 2021

Last NPPES UpdateMay 21, 20213 updates tracked since enumeration

NPPES CertifiedApril 9, 2021

✔ NPI 1790370765 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP2300X

1883 WILDWOOD ST STE C, Boise, ID 83713

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KIMERENG KIPCHUMBA KIPSUGE NP

Nurse Practitioner (Acute Care)

1883 WILDWOOD ST STE C
BOISE, ID 83713

Ada County (208) 901-7006

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 Idaho Np Clinic PLLC's NPI number?

The NPI number for Idaho Np Clinic PLLC is 1790370765. It was assigned to this organization in the NPPES registry on March 2, 2021.

Where is Idaho Np Clinic PLLC located?

Idaho Np Clinic PLLC is located at 1883 Wildwood St Ste C, Boise, ID 83713. The listed phone number is (662) 571-7651.

What is Idaho Np Clinic PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

When was this NPI record last updated?

The NPPES record for Idaho Np Clinic PLLC was last updated on May 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.