NPI age
9 years
Enumerated 2017-07-19
● Active
Type 1 · Individual
Jennifer Woodburn
Woodburn is 1 of 187 nurse practitioner providers in Boise and 1 of 680 in Idaho.
Primary specialty
Nurse Practitioner
Plus 2 subspecialties
Licensed in
ID, AZ
2 states
Status
Active
No deactivations on record
Last NPPES update
2026-09-02
Source: CMS NPPES provider record
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 680 active nurse practitioner providers in Idaho.
NPI age
9 years
≈ at median (8 yr)
State licenses
2 states
Top 82% — 17% of peers are multi-state
Subspecialties
0
36% of peers hold subspecialties
NPI lifetime · 2017 → 2026
2017-07Enumerated in NPPES
2017
2026
Where they practice
Practice location
190 E Bannock St
Boise, ID 837126241
Mailing address
Po Box 191050
Boise, ID 837191050
Additional practice locations
2 secondary locations on file with NPPES.
Location 2
42104 N Venture Dr Ste D118
Anthem, AZ 850863837
Location 3
1820 Caldwell Blvd
Nampa, ID 836511505
Specialties
-
Nurse Practitioner Primary(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum...
Medicare directory context
Medicare specialties
Nurse Practitioner
Largest Medicare group
10 members
Largest listed enrollment group
Facility affiliations reported by CMS
- High Desert Heart And Vascular
Practice context
Part of a multi-provider practice. 690 other active providers share this practice address in NPPES.
Recently enumerated nearby: 2 new nurse practitioner providers have been added in Boise in the last 180 days.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.