Individual provider · Type 1 NPI

Jillian Sophia Witt, DNP, AGACNP-BC

Acute Care Nurse Practitioner · Boise, ID

NPI number 1497528012 Active

Practice location

190 E Bannock St
Boise, ID 83712-6241

Fax (208) 381-2566

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner Primary 363LA2100X75738 (ID)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1497528012

Jillian Sophia Witt, DNP, AGACNP-BC's National Provider Identifier is 1497528012, issued on Nov 6, 2023. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Boise, ID. The record was last updated on Jan 8, 2024.