Individual provider · Type 1 NPI
Nicole Marie Justesen
Psychiatric/Mental Health Nurse Practitioner · Boise, ID
NPI number
1902635816
Active
Practice location
1109 W Myrtle St
Boise, ID 83702-6970
Fax (208) 706-6395
Mailing address
190 E Bannock St
Boise, ID 83712-6241
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 3961262 (ID) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
9 other providers at this address
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- Candice ChessumOrthopedic Physical Therapist Boise, ID NPI 1194193334
- Eric Taeho Yoon, PT, DPT, CSCSSports Physical Therapist Boise, ID NPI 1275212805
- Forrest Q. Pecha, MS, ATC, LAT, OTCAthletic Trainer Boise, ID NPI 1639372709
- Julia Hassell, ATC, OTCAthletic Trainer Boise, ID NPI 1083015929
- Kurt J. Nilsson, MDSports Medicine (Family Medicine) Physician Boise, ID NPI 1477581122
- Lucas Bahnmaier, MS, ATC/L, OTCAthletic Trainer Boise, ID NPI 1982940011
- Timothy Steven Nicolello, ATCAthletic Trainer Boise, ID NPI 1831475284
- Zachary Braddock, PT, DPTPhysical Therapist Boise, ID NPI 1801249545
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- Margaret E. Johnson, MSN, APRN, PMHNP-BCPsychiatric/Mental Health Nurse Practitioner Boise, ID NPI 1073698692
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- Kelly Moore, NPPsychiatric/Mental Health Nurse Practitioner Boise, ID NPI 1104303072
- Brigitta Panther, PMHNP-BCPsychiatric/Mental Health Nurse Practitioner Boise, ID NPI 1104309657
About NPI 1902635816
Nicole Marie Justesen's National Provider Identifier is 1902635816, issued on Jul 29, 2024. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Boise, ID. The record was last updated on Aug 25, 2026.