IndividualActive
Jillian Witt, DNP, AGACNP-BC
NPI 1497528012 · Acute Care Nurse Practitioner · Boise, ID
Provider details
- NPI number
- 1497528012
- Entity type
- Individual
- Primary specialty
- Acute Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- DNP, AGACNP-BC
- Sex
- Female
- Sole proprietor
- No
- License
- 75738 (ID)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
190 E Bannock St
Boise, ID 83712-6241
Phone: (208) 381-3971
Fax: (208) 381-2566
Approximate (ZIP-level) locationGet directions
Mailing address
190 E Bannock St
Boise, ID 83712-6241
Registry dates
- Enumerated
- 2023-11-06
- Last updated
- 2024-01-08
- Certified
- 2024-01-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.