Search › Idaho › 363A00000X
Jordan Wilson, PA-C
NPI 1396106928 · on the registry since 2016
Practice
- Address
- 8660 W Emerald St Ste 112
Boise, ID 83704 - Phone
- (208) 314-1770
- Fax
- (208) 789-0620
- Organisation at this address
- 62 Degrees Physical Therapy
Boundary Creek Counseling Llc
A New Beginning Wellnes Center
A New Beginning Wellness Center
Town Square Dental Partners, PllcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 12
Additional practice sites
- 7941 W Rifleman St, Boise, ID
- 2335 E State Ave, Meridian, ID
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-11-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho