Individual provider · Type 1 NPI

Jennifer Woodburn

Nurse Practitioner · Boise, ID

NPI number 1003339268 Active

Practice location

190 E Bannock St
Boise, ID 83712-6241

Mailing address

PO Box 191050
Boise, ID 83719-1050

Other practice locations

  • 42104 N Venture Dr Ste D118, Anthem, AZ 85086-3837 · (623) 505-6565
  • 1820 Caldwell Blvd, Nampa, ID 83651-1505 · (208) 466-6567

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X71924 (ID)
Nurse Practitioner 363L00000XRN166862 (AZ)
Nurse Practitioner 363L00000XAP10354 (AZ)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1003339268

Jennifer Woodburn's National Provider Identifier is 1003339268, issued on Jul 19, 2017. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Boise, ID. The record was last updated on Sep 2, 2026.