Individual provider · Type 1 NPI

Jessica Jerdin, PA-C

Physician Assistant · Boise, ID

NPI number 1003516758 Active · reactivated Jul 9, 2024

Practice location

6165 W Emerald St
Boise, ID 83704-8613

Call (208) 302-3900 Map

Fax (208) 302-3955

Mailing address

PO Box 190930
Boise, ID 83719-0930

Other practice locations

  • 452 Welch St, Silverton, OR 97381-1934 · (503) 874-2454
  • 2695 SW Cedar Hills Blvd Ste G140, Beaverton, OR 97005-1392 · (503) 850-9950
  • 4103 Mercantile Dr, Lake Oswego, OR 97035-2556 · (503) 850-9940

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA224310 (OR)
Physician Assistant Primary 363A00000X3081018 (ID)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

22 other providers at this address

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About NPI 1003516758

Jessica Jerdin, PA-C's National Provider Identifier is 1003516758, issued on Mar 9, 2023. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Boise, ID. The record was last updated on Jun 5, 2026.