P Praxis·MD
● Active Type 1 · Individual

Leah Jackson, ARNP

Nurse Practitioner·Boise, ID· NPI 1730692989 · Enumerated 2017 · 8 years on NPI
Jackson is 1 of 15 nurse practitioner providers in Boise and 1 of 39 in Idaho.
NPI age
8 years
Enumerated 2017-11-09
Primary specialty
Nurse Practitioner
Plus 3 subspecialties
Licensed in
ID, WA
2 states
Status
Active
No deactivations on record
Last NPPES update
2023-10-13
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 39 active nurse practitioner providers in Idaho.

NPI age
8 years
↑ 3 yr above median (5 yr)
State licenses
2 states
Top 82% — 17% of peers are multi-state
Subspecialties
2
In the 48% of peers with subspecialties

NPI lifetime · 2017 → 2026

2017-11Enumerated in NPPES
2017 2026

Where they practice

Practice location
1055 N Curtis Rd
Boise, ID 837061309
📞 2083677350
Mailing address
Po Box 190930
Boise, ID 837190930
📞 2083675170fax 2083675180

Additional practice locations

1 secondary location on file with NPPES.

Location 2
888 Swift Blvd
Richland, WA 993523583
📞 5099464611

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    ID license #72172WA license #AP61051873 taxonomy 363LG0600X
  • Nurse Practitioner
    Definition to come...
    WA license #AP61051873 taxonomy 363LA2100X
  • Registered Nurse
    (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or...
    WA license #RN00155803 taxonomy 163W00000X

Identifiers

TypeValueNotes
05 (WA) AP61051873
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 378 other active providers share this practice address in NPPES.

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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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