NPI age
14 years
Enumerated 2012-04-09
● Active
Type 1 · Individual
DR. Jennifer Nicole Lillemon, M.D.
Lillemon is 1 of 1 obstetrics & gynecology providers in Boise and 1 of 1 in Idaho.
Primary specialty
Obstetrics & Gynecology
Plus 1 subspecialty
Licensed in
OR
1 state
Status
Active
No deactivations on record
Last NPPES update
2019-05-15
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 1 active obstetrics & gynecology providers in Idaho.
NPI age
14 years
≈ at median (14 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
1
In the 100% of peers with subspecialties
NPI lifetime · 2012 → 2026
2012-04Enumerated in NPPES
2012
2026
Where they practice
Practice location
100 E Idaho St Ste 304
Boise, ID 83712
Mailing address
100 E Idaho St Ste 304
Boise, ID 837126269
Additional practice locations
1 secondary location on file with NPPES.
Location 2
3181 Sw Sam Jackson Park Road, Ohsu
Portland, OR 97239
Specialties
-
Obstetrics & Gynecology PrimaryA subspecialist in Urogynecology and Reconstructive Pelvic Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of...
-
Student in an Organized Health Care Education/Training ProgramAn individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Practice context
Solo or small practice. No other active providers share this practice address in NPPES.
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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.
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