IndividualActive
Jennifer Macdermott, MS, RN, ACNS-BC
NPI 1912219288 · Adult Health Nurse Practitioner · Boise, ID
Provider details
- NPI number
- 1912219288
- Entity type
- Individual
- Primary specialty
- Adult Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- MS, RN, ACNS-BC
- Sex
- Female
- Sole proprietor
- No
- License
- APRN.CNP.12917 (OH)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
190 E Bannock St
Boise, ID 83712-6241
Phone: (208) 381-5015
Fax: (208) 381-1873
Approximate (ZIP-level) locationGet directions
Mailing address
190 E Bannock St
Boise, ID 83712-6241
Registry dates
- Enumerated
- 2010-07-02
- Last updated
- 2023-08-24
- Certified
- 2023-08-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.