P Praxis·MD
● Active Type 1 · Individual

Jessica Noel Tiner

Nurse Practitioner·Boise, ID· NPI 1508623497 · Enumerated 2024 · 2 years on NPI
Tiner is 1 of 303 nurse practitioner providers in Boise and 1 of 1280 in Idaho.
NPI age
2 years
Enumerated 2024-03-06
Primary specialty
Nurse Practitioner
Plus 1 subspecialty
Licensed in
TN, ID
2 states
Status
Active
No deactivations on record
Last NPPES update
2026-04-20
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1280 active nurse practitioner providers in Idaho.

NPI age
2 years
↓ 5 yr below median (7 yr)
State licenses
2 states
Top 86% — 13% of peers are multi-state
Subspecialties
1
In the 27% of peers with subspecialties

NPI lifetime · 2024 → 2026

2024-03Enumerated in NPPES
2024 2026

Where they practice

Practice location
6140 W Curtisian Ave Ste 102
Boise, ID 837040109
📞 2083020000fax 2083020220
Mailing address
Po Box 190930
Boise, ID 837190930
📞 2083029342fax 2083675180

Additional practice locations

4 secondary locations on file with NPPES.

Location 2
2033 Meadowview Ln Ste 110
Kingsport, TN 376607569
📞 4232305000
Location 3
1490 Park Ave Nw Ste 3c
Norton, VA 242731631
📞 2766798890
Location 4
2050 Meadowview Pkwy
Kingsport, TN 376607475
📞 4232305000
Location 5
127 Health Care Dr Ste 3
Pennington Gap, VA 242772853
📞 2762995000

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    TN license #34438 taxonomy 363LF0000X
  • Nurse Practitioner
    (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...
    ID license #2081909 taxonomy 363L00000X

Practice context

Part of a multi-provider practice. 6 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. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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