IndividualActive
Leah Jackson, ARNP
NPI 1730692989 · Gerontology Nurse Practitioner · Boise, ID
Provider details
- NPI number
- 1730692989
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- ARNP
- Sex
- Female
- Sole proprietor
- Yes
- License
- RN00155803 (WA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1055 N Curtis Rd
Boise, ID 83706-1309
Phone: (208) 367-7350
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 190930
Boise, ID 83719-0930
Additional practice locations (1)
- 888 Swift BlvdRichland, WA 99352-3583Phone: (509) 946-4611
Registry dates
- Enumerated
- 2017-11-09
- Last updated
- 2023-10-13
- Certified
- 2022-03-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.