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Jason Elliott, AGACNP — NPI 1275199663, Boise, ID | NPI Central

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NPI 1275199663

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Jason Elliott, AGACNP

NPI 1275199663 · Acute Care Nurse Practitioner · Boise, ID

Provider details

NPI number: 1275199663
Entity type: Individual
Primary specialty: Acute Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Credential: AGACNP
Sex: Male
Sole proprietor: Yes
License: 61213 (ID)

Specialties & taxonomies

Acute Care Nurse PractitionerPrimary363LA2100XLicense 61213 (ID)
Physician Assistants & Advanced Practice Nursing Providers

Practice location

190 E Bannock St

Boise, ID 83712-6241

Phone: (208) 381-1615

Approximate (ZIP-level) locationGet directions

More ID providers

Mailing address

190 E Bannock St

Boise, ID 83712-6241

Additional practice locations (1)

12094 N Barn Owl Way
Boise, ID 83714-1363
Phone: (302) 423-7286

Registry dates

Enumerated: 2019-05-12
Last updated: 2022-05-09
Certified: 2022-05-09

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.