Individual provider · Type 1 NPI

Jamison Vincent

Medical-Surgical Registered Nurse · Boise, ID

NPI number 1477482602 Active

Practice location

1910 University Dr
Boise, ID 83725-0002

Mailing address

1283 S Division Ave
Boise, ID 83706-3652

Specialties and licenses

TaxonomyCodeLicense
Medical-Surgical Registered Nurse Primary 163WM0705X6971051 (ID)

Medical-Surgical Registered Nurse: Definition to come...

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About NPI 1477482602

Jamison Vincent's National Provider Identifier is 1477482602, issued on May 14, 2026. The primary taxonomy on file is Medical-Surgical Registered Nurse (163WM0705X), and the practice location is in Boise, ID. The record was last updated on May 14, 2026.