IndividualActive
Jamison Vincent
NPI 1477482602 · Medical-Surgical Registered Nurse · Boise, ID
Provider details
- NPI number
- 1477482602
- Entity type
- Individual
- Primary specialty
- Medical-Surgical Registered NurseNursing Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 6971051 (ID)
Specialties & taxonomies
Nursing Service Providers
Practice location
1910 University Dr
Boise, ID 83725-0002
Phone: (208) 426-1000
Approximate (ZIP-level) locationGet directions
Mailing address
1283 S Division Ave
Boise, ID 83706-3652
Registry dates
- Enumerated
- 2026-05-14
- Last updated
- 2026-05-14
- Certified
- 2026-05-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.