P Praxis·MD
● Active Type 1 · Individual

Jennifer Wicklund, FNP-C

Nurse Practitioner·Meridian, ID· NPI 1871165118 · Enumerated 2021 · 4 years on NPI
Wicklund is 1 of 123 nurse practitioner providers in Meridian and 1 of 1280 in Idaho.
NPI age
4 years
Enumerated 2021-07-15
Primary specialty
Nurse Practitioner
Licensed in
MI
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-02-22
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
4 years
↓ 3 yr below median (7 yr)
State licenses
1 state
13% of peers hold multiple states
Subspecialties
0
27% of peers hold subspecialties

NPI lifetime · 2021 → 2026

2021-07Enumerated in NPPES
2021 2026

Where they practice

Practice location
4664 N Penngrove Way Ste 100
Meridian, ID 836467442
📞 2088987467fax 2083982120
Mailing address
4664 N Penngrove Way Ste 100
Meridian, ID 836467442
📞 2088987467fax 2083982120

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    MI license #4704278431 taxonomy 363LF0000X

Practice context

Part of a multi-provider practice. 7 other active providers share this practice address in NPPES.

Recently enumerated nearby: 4 new nurse practitioner providers have been added in Meridian 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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