OrganizationActive
Tennessee Phs PC
NPI 1063786648 · Nurse Practitioner · Boise, ID
Tennessee Phs PC is a Nurse Practitioner organization in Boise, ID (NPI 1063786648).
Provider details
- NPI number
- 1063786648
- Entity type
- Organization
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Parent organization
- Provider Health Services LLC
- Organization subpart
- Yes
- Authorized official
- Nicole Howard, Cfo(337) 991-9276
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
950 W. Bannock Street
Suite 1100
Boise, ID 83702-6140
Phone: (877) 260-4747
Fax: (901) 261-4867
Street-level locationGet directions
Mailing address
1509 Dulles Drive
Lafayette, LA 70506
Registry dates
- Enumerated
- 2012-02-29
- Last updated
- 2014-07-02
Frequently asked questions
- What is Tennessee Phs PC's NPI number?
- Tennessee Phs PC's National Provider Identifier (NPI) is 1063786648, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Tennessee Phs PC?
- Tennessee Phs PC is classified in the NPPES registry as Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Tennessee Phs PC located?
- Tennessee Phs PC's practice location on file with NPPES is 950 W. Bannock Street, Boise, ID 83702-6140.
- What is Tennessee Phs PC's phone number?
- The practice phone number listed in the NPPES registry for Tennessee Phs PC is (877) 260-4747.
- Who is the authorized official for Tennessee Phs PC?
- The authorized official listed on Tennessee Phs PC's NPPES record is Nicole Howard, Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Tennessee Phs PC's NPI active?
- Yes — Tennessee Phs PC's NPI (1063786648) is active in the NPPES registry as of the last update on 2014-07-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.